Skip to main content

Advertisement

SpringerLink
Log in

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

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. van Dinther J, Zarowski A, Somers T, Offeciers E (2017) The MO-meatocanalplasty: a modification of the M-meatoplasty to address the superior quadrants and the bony canal. Eur Arch Otorhinolaryngol 274(9):3291–3293. https://doi.org/10.1007/s00405-017-4626-4

    Article  PubMed  Google Scholar 

  2. Mirck PG (1996) The M-meatoplasty of the external auditory canal. Laryngoscope 106(3 Pt 1):367–369

    Article  CAS  Google Scholar 

  3. van Dinther JJ et al (2015) The bony obliteration tympanoplasty in pediatric cholesteatoma: long-term safety and hygienic results. Otol Neurotol 36(9):1504–1509. https://doi.org/10.1097/MAO.0000000000000851

    Article  PubMed  Google Scholar 

  4. Fisch U, Chang P, Linder T (2002) Meatoplasty for lateral stenosis of the external auditory canal. Laryngoscope 112(7 Pt 1):1310–1314. https://doi.org/10.1097/00005537-200207000-00031

    Article  PubMed  Google Scholar 

  5. Fagan P, Ajal M (1998) Z-meatoplasty of the external auditory canal. Laryngoscope 108(9):1421–1422. https://doi.org/10.1097/00005537-199809000-00033

    Article  CAS  PubMed  Google Scholar 

  6. Eisenman DJ, Parisier SC (1999) Meatoplasty: the cartilage of the floor of the ear canal. Laryngoscope 109(5):840–842. https://doi.org/10.1097/00005537-199905000-00031

    Article  CAS  PubMed  Google Scholar 

  7. Suskind DL, Bigelow CD, Knox GW (1999) Y modification of the Fisch meatoplasty. Otolaryngol Head Neck Surg 121(1):126–127. https://doi.org/10.1016/S0194-5998(99)70139-7

    Article  CAS  PubMed  Google Scholar 

  8. Rombout J, van Rijn PM (2001) M-meatoplasty: results and patient satisfaction in 125 patients (199 ears). Otol Neurotol 22(4):457–460

    Article  CAS  Google Scholar 

  9. Paparella MM, Goycoolea MV (1981) Canalplasty for chronic intractable external otitis and keratosis obturans. Otolaryngol Head Neck Surg 89(3 Pt 1):440–443. https://doi.org/10.1177/019459988108900317

    Article  CAS  PubMed  Google Scholar 

  10. Parisier SC, Bent JP (1999) Canalplasty. Otolaryngol Clin N Am 32(3):457–469

    Article  CAS  Google Scholar 

  11. van Spronsen E, Geerse S, Mirck PG, van der Baan S, Fokkens WJ, Ebbens FA (2014) The shape of the osseous external auditory canal and its relationship to chronic external otitis. Otol Neurotol 35(10):1790–1796. https://doi.org/10.1097/MAO.0000000000000430

    Article  PubMed  Google Scholar 

  12. Droessaert V, Vanspauwen R, Offeciers E, Zarowski A, Dinther JV, Somers T (2017) Surgical treatment of acquired atresia of the external auditory ear canal. Int Arch Otorhinolaryngol 21(4):343–346. https://doi.org/10.1055/s-0037-1598604

    Article  PubMed  PubMed Central  Google Scholar 

  13. Limpens J, Ebbens FA, Fokkens WJ, van Spronsen E, Wildeman MAM, de Wolf MJF (2018) Canalplasty: systematic review of literature, vol 2.1. Doctor, Faculteit der Geneeskunde, Universiteit van Amsterdam, Amsterdam

  14. Revadi G, Prepageran N, Raman R, Sharizal TA (2011) Epithelial migration on the external ear canal wall in normal and pathologic ears. Otol Neurotol 32(3):504–507. https://doi.org/10.1097/MAO.0b013e31820d97e2

    Article  PubMed  Google Scholar 

  15. Phillips JS, Haggard M, Spencer H, Yung M (2017) The chronic otitis media benefit inventory (COMBI): development and validation of a dynamic quality of life questionnaire for chronic ear disease. Otol Neurotol 38(5):701–707. https://doi.org/10.1097/MAO.0000000000001366

    Article  PubMed  Google Scholar 

  16. Greve G, Dinther JV, Maryn Y, Vanspauwen R, Zarowski A, Offeciers E (2019) Validity and test–retest reliability of the Dutch version of the chronic otitis media benefit inventory. J Int Adv Otol 15(1):34–37. https://doi.org/10.5152/iao.2019.6339

    Article  PubMed  PubMed Central  Google Scholar 

  17. Phillips JS, Haggard M, Yung M (2014) A new health-related quality of life measure for active chronic otitis media (COMQ-12): development and initial validation. Otol Neurotol 35(3):454–458. https://doi.org/10.1097/MAO.0000000000000205

    Article  PubMed  Google Scholar 

  18. Phillips JS, Yung MW (2016) A systematic review of patient-reported outcome measures for chronic suppurative otitis media. Laryngoscope 126(6):1458–1463. https://doi.org/10.1002/lary.25657

    Article  PubMed  Google Scholar 

Download references

Funding

This study did not receive any funding.

Author information

Author notes

  1. Glynnis De Greve and Joost van Dinther: contributed equally.

Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, European Institute for ORL-HNS, Oosterveldlaan 24, 2610, Wilrijk, Antwerp, Belgium

    Glynnis De Greve, Joost van Dinther, Robby Vanspauwen, Maryn Youri, Margriet Verstreken, Andrzej Zarowski & Erwin Offeciers

Authors
  1. Glynnis De Greve
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Joost van Dinther
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Robby Vanspauwen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Maryn Youri
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Margriet Verstreken
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Andrzej Zarowski
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Erwin Offeciers
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Joost van Dinther.

Ethics declarations

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval/informed consent

This retrospective study followed the principles of the 1964 Declaration of HELSINKI. Ethics committee approval was received for this study from the ethics committee of the Sint-Augustinus Hospital, GZA Antwerp (Study code 190305RETRO).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (MP4 49995 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

De Greve, G., van Dinther, J., Vanspauwen, R. et al. The MO-meatocanalplasty: long-term results in the narrow external auditory canal with recurrent otitis externa or the inability to wear a hearing aid. Eur Arch Otorhinolaryngol 278, 4743–4748 (2021). https://doi.org/10.1007/s00405-020-06599-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-020-06599-z

Keywords

Search

Navigation