Two Cases of Meatoplasty and Otoplasty Simultaneously in Patients with Auricular Deformities and External Auricular Canal Stenosis

Abstract

As the auricle is a very complex structure covered with thin, sensitive skin, the best reconstruction requires a great deal of skill and the use of diverse approaches. Otolaryngologists should give greater consideration to otoplasty because patients do not want their self-confidence impaired by auricular deformities. When treating external auditory canal (EAC) cholesteatoma caused by EAC stenosis, the blood circulation may be deleteriously affected if the retroauricular incision is made first, and thus the otoplasty must be first carried out. We report two cases of otoplasty performed simultaneously with meatoplasty without the aid of plastic surgeons. The first case involved a 33-year-old woman with cholesteatoma due to congenital auricular atresia and microtia. The second case was a 64-year-old man with traumatic auricular amputation and EAC stenosis due to scar contracture. Simultaneous otoplasty and meatoplasty should be of benefit to patients because it reduces the number of operations and has a high success rate. (Korean J Otorhinolaryngol-Head Neck Surg 2009;52:386-90)