Stenosis of the external auditory meatus is known to be problematic for the otolaryngologist. Establishment of an adequate meatoplasty is important to restore normal otologic physiologic function, whether the meatoplasty is performed as a primary operation or as an adjuvant procedure. Numerous techniques have been devised for performing a meatoplasty. A new technique to create a large and patent meatoplasty is described using a semi-lunar incision in the conchal bowl.