Abstract
Introduction
Widening of the external auditory canal is canalplasty. It is an intergral part of tympanoplasty, especially in anterior perforations and gives wide surgical access for proper repair.
Materials and methods
After elevating tympanomeatal flaps the canal is widened using conical cutting and diamond burrs following which entire tympanic annulus is visible and corresponds to an inverted truncated cone.
Results
Canalplasty gives 9 db gain in hearing compared to without canalplasty.
Conclusion
Canalplasty gives better visualization, better graft placement and better post-operative care.
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References
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Ushio M, Takeuchi N (2006) Evaluation of recovery from transient facial plasy following canaplasty and tympanoplasty for the treatment of congential aural atresiaAnnals of Otology, Rhinology and Laryngology 115(10):749–753
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Vijayendra, H., Ittop, C.J. & Sangeetha, R. Comparative study of hearing improvement in type 1 tympanoplasty with and without canalplasty. Indian J Otolaryngol Head Neck S 60, 341–344 (2008). https://doi.org/10.1007/s12070-008-0113-y
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DOI: https://doi.org/10.1007/s12070-008-0113-y