MEATOPLASTY WITH INTRAQPERATIVE TOPICAL MITOMYCIN C APPLICATION : TECHNIQUE AND OUTCOME
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Objectives: The present study was designed to evaluate the outcome of meatoplasty using Z-shaped incision with application of mitomycin C as trial to enlarge the external auditory meatus of patients undergoing modified radical mastoidectomy in comparison to classic meatoplasty with application of mitomycin C. Patients 61 Methods: The study included 40 patients; 25 males and 15 females with mean age of38.78.4 years. All patients underwent full history taking, complete otorhtnolaryngological examination and CT scan ning and then were randomly allocated into two equal groups (n=20) ac cording to the procedure assigned: Classic meatoplasty (C group) and Zshaped meatoplasty (Z group) using Z-shaped skin incision made along the posterior and inferior concha! borders and extended along the posteri or ear canal meatus. In both groups, mitomycin C, 0.4 mg/ml solution was applied on a sponge to the edge of the remnants of concha! cartilage for 5 minutes. Patients were examined bi-weekly till the ear was fully healed Meatoplasty was assessed as regards the feasibility of easy ex amination and debridement with the use of simple otologic tools and an operating microscope. Both groups were compared as regards age, sex, operative time and amount of intraoperative bleeding.