Spinning FlexHD canaloplasty following parotidectomy: A case report

• Main Authors: Peter K. Firouzbakht, Lisa Saa, Rahul M. Varman, Tam Q. Nguyen
• Format: Article
• Language: English
• Published: Elsevier 2020-06-01
• Series: Otolaryngology Case Reports
• Subjects: Canaloplasty; Spinning FlexHD; Parotidectomy; Ear canal; Ear canal reconstruction
• Online Access: http://www.sciencedirect.com/science/article/pii/S2468548819300785

The common method of external auditory canal (EAC) reconstruction is using a split thickness skin graft. We describe a case of a unique method of ear canal reconstruction using a spinning FlexHD graft. Using allograft allows a decrease in donor site morbidity and also a thicker graft for a more robust repair. A FlexHD graft was used to resurface the bony ear and a posterior meatoplasty was performed to approximate the constructed ear canal with the anterior canal skin. In the process of wound closure, a brisk bleed developed that required embolization. At a four week follow up appointment, the ear canal remained patent and the patient had no concerns.