title: Split thickness skin grafts in four cases of medial meatal fibrosis of the external auditory canal.
abstract: Medial meatal fibrosis is a rare condition in which the medial portion of the external auditory canal is obliterated with fibrous tissue. We selected 4 cases of patients with medial meatal fibrosis with a history of recurrent otorrhea who underwent surgery during the years of 2012 and 2013, presenting the surgical results here. Physical examination showed an obliterated external auditory canal and conductive hypoacusis. All cases were solved using a split thickness skin graft from the thigh. The surgical principles that appear to correlate with a favorable outcome are the removal of all fibrous tissue and unhealthy skin, a wide canaloplasty and the use of a split thickness skin graft.
authors.affiliation: Hospital Pedro Hispano, Matosinhos, Portugal. Electronic address: andreiamfribeiro@gmail.com.
authors.forename: Andreia
authors.initials: A
authors.lastname: Ribeiro
authors.affiliation: Hospital Pedro Hispano, Matosinhos, Portugal.
authors.forename: Abílio
authors.initials: A
authors.lastname: Leonardo
authors.affiliation: Hospital Pedro Hispano, Matosinhos, Portugal.
authors.forename: Manuel Rodrigues
authors.initials: MR
authors.lastname: e Rodrigues
authors.affiliation: Hospital Pedro Hispano, Matosinhos, Portugal.
authors.forename: Gustavo
authors.initials: G
authors.lastname: Lopes
mesh_terms: D000328:Adult; D004424:Ear Canal / Q000473:pathology / Q000601:surgery*; D005260:Female; D005355:Fibrosis; D006312:Hearing Loss, Bilateral / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery; D008875:Middle Aged; D019933:Ossicular Replacement; D020127:Recovery of Function; D016038:Skin Transplantation / Q000379:methods*; D013848:Thigh; D016896:Treatment Outcome; D014433:Tympanoplasty
keywords: Colgajos libres; Conducto auditivo externo; External ear canal; Fibrosis; Free tissue flaps