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A surgical technique for the reconstruction of a posterior meatal wall using a soft material (fascia) was developed for ears with cholesteatoma. Both myringoplasty and reconstruction of the posterior meatal wall were simultaneously performed using a large sheet of fascia, after the removal of the posterior meatal bony wall and the lesion. Even if postoperative middle ear aeration is disturbed, a retraction pocket may be expected to occur easily in ears with a soft posterior meatal wall, because of its flexibility compared to ears with a usual hard posterior meatal wall. This method is simple and can be useful in ears in which the posterior bony wall is removed.
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