David E Tunkel1. 1. Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287-0910, USA. dtunkel@jhmi.edu
Abstract
OBJECTIVE: To determine the effectiveness of the Z-meatoplasty technique for enlargement of the external auditory meatus of children undergoing modified radical mastoidectomy. DESIGN: Case series. SETTING: Pediatric otolaryngology practice in an academic setting. PATIENTS: Consecutive sample of children (< or =18 years old) who had undergone modified radical mastoidectomy performed by the author from 1995 to 2005. INTERVENTION: Z-meatoplasty technique used as part of modified radical mastoidectomy. MAIN OUTCOME MEASURE: Development of postoperative stenosis of the external auditory meatus that required additional surgery. RESULTS: A total of 28 children and 29 ears were treated with modified radical mastoidectomy during the study period. The Z-meatoplasty was used in 24 ears, and 3 (12.5%) required revision meatoplasty for meatal stenosis. Twenty-one ears (87.5%) treated with Z-meatoplasty had excellent healing and cosmesis without stenosis, during a mean follow-up period of 40 months. CONCLUSION: The Z-meatoplasty is an effective technique for use during modified radical mastoidectomy to treat children with cholesteatoma.
OBJECTIVE: To determine the effectiveness of the Z-meatoplasty technique for enlargement of the external auditory meatus of children undergoing modified radical mastoidectomy. DESIGN: Case series. SETTING: Pediatric otolaryngology practice in an academic setting. PATIENTS: Consecutive sample of children (< or =18 years old) who had undergone modified radical mastoidectomy performed by the author from 1995 to 2005. INTERVENTION: Z-meatoplasty technique used as part of modified radical mastoidectomy. MAIN OUTCOME MEASURE: Development of postoperative stenosis of the external auditory meatus that required additional surgery. RESULTS: A total of 28 children and 29 ears were treated with modified radical mastoidectomy during the study period. The Z-meatoplasty was used in 24 ears, and 3 (12.5%) required revision meatoplasty for meatal stenosis. Twenty-one ears (87.5%) treated with Z-meatoplasty had excellent healing and cosmesis without stenosis, during a mean follow-up period of 40 months. CONCLUSION: The Z-meatoplasty is an effective technique for use during modified radical mastoidectomy to treat children with cholesteatoma.