Meatoplasty is a type of ear surgery. It is done on the meatus (opening into the ear canal). The surgery may be needed to widen the opening or it may be needed to help the meatus line up better with the ear canal. This helps keep the ear canal from getting blocked with wax and debris. It also helps reduce the risk of ear infections.
Preparation for Meatoplasty
The preparation for the Meatoplasty surgery has been instructed to the patient. Be sure to tell the Doctor about all medicines that the patient is taking. This includes over the counter drugs. It also includes herbs and other supplements. The patient may need to stop taking some or all of them before the surgery as directed by the Doctor. Also, follow all the directions that are provided to the patient for not eating or drinking before surgery.
At the day of Meatoplasty Surgery
Meatoplasty surgery takes about 1 to 2 hours. The patient is likely to go home on the same day. Before the surgery begins:
- An IV line is put into a vein in the arm or hand. This line supplies fluids and medicines.
- The patient will be given medicine (anesthesia) to keep him/her free from pain during the Meatoplasty surgery.
The patient may be given general anesthesia. This will put the patient into a deep sleep like state during the surgery or he may be given sedation, which makes the patient relaxed and sleepy. In this case, local anesthesia is used to numb the area being worked on.
During the Meatoplasty Surgery
Here is what to expect during the Meatoplasty surgery:
- Incisions are made in and around the ear canal. Then a tissue is removed or rearranged to make the ear opening larger.
- The ear canal is filled with antibiotic ointment or fluid. This helps to prevent infection. Packing (a special kind of dressing) may also be placed in the ear canal.
After the Meatoplasty Surgery
The patient will be taken to a room to regain consciousness. He will be given medicines to manage pain and prevent infection. If the patient is having packing inside the ear canal, he may have trouble in hearing through that ear. This is not a sign of a problem.
Be aware that the patient may have some dizziness after the surgery. This can last for a few days. When it’s time for the patient to be released from the hospital, have an adult family member or friend ready to drive them home.
Recovering from Meatoplasty at home
Once at home, follow any special instructions the patient is given.
When to call the healthcare provider
Be sure you have a contact number for your healthcare provider. After the patient's get home, call if the patient is having:
- Chest pain or trouble breathing
- Fever of 100.4°F (38°C) or higher, or as directed by the healthcare provider
- Bright red bleeding or foul-smelling drainage from the patient’s ear (some pink-tinged drainage is normal)
- Increased redness or swelling around the ear
- Dizziness, nausea, or vomiting that gets worse
- Pain that cannot be controlled with medicines
During the patient’s re-visits, the healthcare provider will check healing. If the patient’s stitches or packing needs to be removed, this can be done in about 7 to 10 days.
Risks and possible complications associated with Meatoplasty
Risks of Meatoplasty include: