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A canal wall down, inside outside mastoidectomy requires an adequate meatoplasty for a dry outcome of the procedure. For an inside outside CWD procedure an endaural route is the best procedure. However the limitation in this approach is the meatoplasty. Thirty-one cases of unsafe disease with a sclerotic mastoid were taken up for an inside outside mastoidectomy using an endaural route. A procedure is described for the creation of a large adequate meatoplasty raising a posterior skin flap and removing the conchal cartilage via endaural route and the results discussed here.

Meatoplasty in a CWD Procedure Using an Endaural Approach: A Case Series of 31 Cases