Triple flap meatoplasty for acquired meatal atresia

Manish Munjal, Porshia Rishi, Harjinder Sidhu, Shubham Munjal, Shivam Talwar, Salony Sharma, Deeksha Chawla, Karan Dhillon


Surgical intervention was undertaken in post-traumatic cartilaginous meatal atresia with an intact tympano-ossicular assembly, utilizing a triple flap meatoplasty, to achieve a wide meatus. The intricacies of the procedure with the late outcome are being discussed.


Meatal atresia, Acquired, Flaps, Meatoplasty, Canalplasty

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Tos M, Balle V. Postinflammatory acquired atresia of the external auditory canal: late results of surgery. Am J Otol. 1986;7(05):365-70.

Hopsu E, Pitkäranta A. Idiopathic, inflammatory, medial meatal, fibrotising otitis presenting with lichen planus. J Laryngol Otol. 2007;121(08):796-99.

Carls JL, Mendenhall WM, Morris CG, Antonelli PJ. External auditory canal stenosis after radiation therapy. Laryngoscope. 2002;112(11):1975-8.

Manolopoulos L, Papacharalampous GX, Yiotakis I, Protopappas D, Vlastarakos PV, Nikolopoulos TP. Congenital aural atresia reconstruction: a surgical procedure with a long history. J Plast Reconstr Aesthet Surg. 2010;63:774-81.

Chang SO, Jeon SJ, Jeong HS, Kim CS. Prevention of postoperative meatal stenosis with anteriorly and inferiorly based periosteal flaps in congenital aural atresia surgery. Otol Neurotol. 2002;23:25-8.

Haginomori S, Nonaka R, Takenaka H, Ueda K. Canal wall-down tympanoplasty with soft-wall reconstruction using the pedicled temporoparietal fascial flap: technique and preliminary results. Ann Otol Rhinol Laryngol. 2008;117:719-26.

Dhooge I, D'hoop M, Loose D, Acke F. Acquired atresia of the external auditory canal: long-term clinical and audiometric results after surgery. Otol Neurotol. 2014;35(07):1196-200.

Jacobsen N, Mills R. Management of stenosis and acquired atresia of the external auditory meatus. J Laryngol Otol. 2006;120(04):266-71.

Jahrsdoerfer RA. Congenital atresia of the ear. Laryngoscope. 1978;88:1-48.