title: How I do it: modified Todd's meatoplasty.
abstract: BACKGROUND
  Chronic otorrhoea after canal wall down mastoidectomy can be a clinical challenge. Basic principles for canal wall down surgery include establishing a large meatus. Several meatoplasty techniques have been reported. This paper describes this new indication for Todd's meatoplasty with surgical improvements.
  
  
  METHODS
  Retrospective review.
  
  
  METHODS
  Academic tertiary referral centre.
  
  
  METHODS
  Modifications of transposition postauricular flap meatoplasty are reported. This technique was applied in a series of patients with chronic otorrhoea after a canal wall down mastoidectomy.
  
  
  RESULTS
  In general, a dry radical cavity was successfully created within six weeks and follow-up visits at the out-patient clinic were reduced. Only minor complications occurred, which are all reported.
  
  
  CONCLUSIONS
  The postauricular flap meatoplasty is a valuable tool in the management of chronic otorrhoea after an open cavity approach for cholesteatoma.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands.
authors.forename: A N
authors.initials: AN
authors.lastname: Elsamanody
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands.
authors.forename: V
authors.initials: V
authors.lastname: Topsakal
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands.
authors.forename: W
authors.initials: W
authors.lastname: Grolman
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery,Rudolf Magnus Institute of Neuroscience,University Medical Centre Utrecht,the Netherlands.
authors.forename: R A
authors.initials: RA
authors.lastname: Tange
mesh_terms: D000046:Academic Medical Centers; D002908:Chronic Disease; D004424:Ear Canal / Q000601:surgery*; D006801:Humans; D008416:Mastoid / Q000601:surgery*; D010033:Otitis Media / Q000601:surgery*; D013506:Otologic Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D013524:Surgical Flaps; D014433:Tympanoplasty / Q000379:methods*
keywords: External Acoustic Meatus; Otitis Media; Otologic Surgical Procedures; Tympanoplasty