Surgical treatment of external auditory canal cholesteatoma in congenital malformation of the ear: A case series

AbstractObjectives:To describe the clinical features of external auditory canal cholesteatoma, and to assess the outcome following bony meatoplasty with tragal cartilage and perichondrium graft repair.Methods:A retrospective review was carried out, comprising all patients with external auditory canal cholesteatoma who presented between January 2007 and December 2011. Patients underwent pre-operative audiometry and computed tomography imaging of the temporal bones, before undergoing bony meatoplasty via a postauricular incision. Pre- and post-operative comparisons were made of patients' otological symptoms and the otoscopic appearance of the external ear canal.Results and conclusion:Eight patients were included in the analyses. The median age of patients was 46.5 years (range 14–68 years), with a male to female ratio of 1:1. The median length of follow up was 16 months. The most common presenting features were unilateral otalgia and purulent otorrhoea. All patients had relatively advanced disease at presentation, with erosion of the temporal bone. All patients underwent bony meatoplasty via a postauricular approach to eradicate the disease. Bony meatoplasty was successful in the definitive management of external ear canal cholesteatoma.

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Surgical treatment of external auditory canal cholesteatoma.

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.79.213 ◽

1986 ◽

Vol 79 (2) ◽

pp. 213-218

Author(s):

Etsuo YAMAMOTO ◽

Michitaka IWANAGA ◽

Kayoko SATO

Keyword(s):

Surgical Treatment ◽

External Auditory Canal ◽

External Auditory Canal Cholesteatoma

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Spontaneous External Auditory Canal Cholesteatoma: Case Series and Review of Literature

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/s12070-019-01755-2 ◽

2019 ◽

Vol 72 (1) ◽

pp. 86-91

Author(s):

Preeti Dhingra ◽

A. G. Pusalkar

Keyword(s):

External Auditory Canal ◽

Case Series ◽

Review Of Literature ◽

External Auditory Canal Cholesteatoma

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Surgical Treatment of External Auditory Canal Cholesteatoma - Ten Years of Clinical Experience

The Journal of International Advanced Otology ◽

10.5152/iao.2017.2342 ◽

2017 ◽

Vol 13 (1) ◽

pp. 9-13 ◽

Cited By ~ 4

Author(s):

Kuen-Yao Ho ◽

Tzu-Yen Huang ◽

Shih-Meng Tsai ◽

Hsun-Mo Wang ◽

Chen-Yu Chien ◽

...

Keyword(s):

Surgical Treatment ◽

Clinical Experience ◽

External Auditory Canal ◽

External Auditory Canal Cholesteatoma

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Case series on external auditory canal cholesteatoma: an entity often misdiagnosed

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20202222 ◽

2020 ◽

Vol 6 (6) ◽

pp. 1179

Author(s):

Priti S. Hajare ◽

O. Padmavathy

Keyword(s):

Rare Disease ◽

Clinical Examination ◽

External Auditory Canal ◽

Case Series ◽

Normal Hearing ◽

External Ear ◽

Radiological Investigation ◽

Proper Management ◽

External Auditory Canal Cholesteatoma

<p class="abstract">External auditory canal cholesteatoma (EACC) is a rare disease. EACC presents with chronic dull aching pain with normal hearing. It is diagnosed by clinical examination and radiological investigation. Due to its rarity it is important to differentiate it from other external ear conditions. We prospectively analysed four cases of cholesteatoma of the external auditory canal in a period of 18 months. All of our patients underwent surgery. In three cases, the cholesteatoma was restricted to the external auditory canal, while in one case it was extending into the antrum. A proper clinical examination with radiological investigations will be helpful in the diagnosis and for proper management of the disease.</p>

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Surgical management of external auditory canal lesions

The Journal of Laryngology & Otology ◽

10.1017/s0022215112003155 ◽

2013 ◽

Vol 127 (3) ◽

pp. 246-251 ◽

Cited By ~ 16

Author(s):

P M Spielmann ◽

S McKean ◽

R D White ◽

S S M Hussain

Keyword(s):

Surgical Management ◽

External Auditory Canal ◽

Case Series ◽

Surgical Excision ◽

Subsequent Treatment ◽

Malignant Neoplasms ◽

Cavernous Haemangioma ◽

Bony Lesions ◽

External Auditory Canal Cholesteatoma ◽

Personal Case

AbstractBackground:Lesions arising in the external auditory canal that require surgical excision are uncommon. They are associated with a range of pathologies, including bony abnormalities, infections, benign and malignant neoplasms, and epithelial disorders.Methods:This paper describes a 10-year personal case series of external auditory canal lesions with chart, imaging and histopathology review.Results:In total, 48 lesions required surgical management, consisting of: 13 bony lesions; 14 infective lesions; 14 neoplasms with 11 histological types (including ceruminous adenoma and the extremely rare cavernous haemangioma); 3 epithelial abnormalities; and 4 other benign lesions. The surgical management is described.Conclusion:This study emphasises the diagnostic differences between exostoses and osteomas, and between external auditory canal cholesteatoma and keratosis obturans. It also discusses the management of aural polyps, and highlights the need to excise external auditory canal masses for histology in order to guide subsequent treatment.

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