The MO-meatocanalplasty: long-term results in the narrow external auditory canal with recurrent otitis externa or the inability to wear a hearing aid.

Autor: De Greve G; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium., van Dinther J; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium. joost.vandinther@gza.be., Vanspauwen R; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium., Youri M; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium., Verstreken M; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium., Zarowski A; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium., Offeciers E; Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium.
Jazyk: angličtina
Zdroj: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2021 Dec; Vol. 278 (12), pp. 4743-4748. Date of Electronic Publication: 2021 Feb 20.
DOI: 10.1007/s00405-020-06599-z
Abstrakt: Objective: The MO-meatocanalplasty is the oblique modification of the M-meatoplasty. The MO-meatocanalplasty was designed to address the superior quadrants of the meatus and the bony canal without the need for a retro-auricular incision. This retrospective analysis was performed to evaluate the long-term results of the MO-meatocanalplasty in patients with a narrow external auditory canal (EAC) with recurrent otitis externa or in patients unable to wear a hearing aid.
Methods: Twenty-two ears in twenty consecutive patients who received a MO-meatocanalplasty for a narrow EAC with recurrent otitis externa or the inability to wear a hearing aid were analysed retrospectively. There were no patients included with any type of previous or planned second stage tympanoplasty procedures. A follow-up period of 3 years was analysed for postoperative recurrent narrowing, the self-cleaning capacity of the EAC, the recurrence of otitis externa, the inability to wear a hearing aid, change in hearing level and for all types of aesthetical complaints.
Results: The MO-meatocanalplasty procedure was effective in 82% (n = 18). Postoperative recurrent narrowing was detected in 9% (n = 2). Insufficient self-cleaning capacity of the EAC was 9.1% (n = 2). The ability to wear a hearing aid was restored in all patients with the need for a hearing aid. No aesthetical complaints were reported.
Conclusion: The MO-meatocanalplasty is an effective, safe and aesthetical accepted procedure to address the narrow meatus and external auditory canal. With this procedure, there is no need for a retro-auricular incision in order to create a well aerated, dry and self-cleaning EAC in patients with a narrow EAC with recurrent otitis externa or in patient with the inability to wear a hearing aid.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.)
Databáze: MEDLINE
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