Clinical analysis on surgical management of type III external auditory canal cholesteatoma: a report of 12 cases

2016 ◽  
Vol 136 (10) ◽  
pp. 1006-1010 ◽  
Author(s):  
Yan Yan ◽  
Siqi Dong ◽  
Qingqing Hao ◽  
Riyuan Liu ◽  
Guangyu Xu ◽  
...  
2013 ◽  
Vol 127 (3) ◽  
pp. 246-251 ◽  
Author(s):  
P M Spielmann ◽  
S McKean ◽  
R D White ◽  
S S M Hussain

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.


1999 ◽  
Vol 92 (12) ◽  
pp. 1311-1314
Author(s):  
Yurika KIMURA ◽  
Hideji OKUNO ◽  
Yoshihiro NOGUCHI ◽  
Atsushi KOMATSUZAKI

Author(s):  
Chan Young Lee ◽  
Seung Ho Kim ◽  
Jeong Hwan Choi

External auditory canal exostosis (EACE) is prone to occur in patients frequently exposed to cold water, which causes earwax impaction, recurrent otitis externa, and conductive hearing loss. The main treatment for symptomatic EACE is surgical excision. External auditory canal cholesteatoma (EACC) is a bone-destructive cystic mass caused by accumulation of plugs of desquamated keratin debris in the external auditory canal (EAC), which is also mainly treated with surgical removal. The main difficulties in the surgical removal of obstructive EACEs or EACCs are related to the adjacency of EAC skin, tympanic membrane, temporomandibular joint, and the blockage of the medial EAC landmarks during the operation. The piezoelectric device (PZD), which has long been used to cut bony structures in dental surgery, has clinical advantages here with regards to accurate exclusive bone cutting ability and minimal heat production. We report a series of cases that managed EAC lesions using PZD.


2006 ◽  
Vol 120 (9) ◽  
pp. 740-744 ◽  
Author(s):  
N C Saunders ◽  
R Malhotra ◽  
N Biggs ◽  
P A Fagan

Three patients with extensive keratosis obturans were treated during a 12-month period. One presented with an idiopathic sensorineural hearing loss and was found to have keratosis obturans in the contralateral, asymptomatic ear. The disease process had resulted in a horizontal semicircular canal fistula in what was now, effectively, the only hearing ear. The second patient had an extensive dehiscence of the tegmen tympani. The third presented with a facial palsy. An automastoidectomy cavity was present, with circumferential skeletonization of the descending facial nerve over a length of 1.5 cm and dehiscence of the temporomandibular joint and jugular bulb. All three patients were successfully treated by surgical formalization of their automastoidectomy cavities. They appeared to represent cases of keratosis obturans rather than external auditory canal cholesteatoma, on the basis of previously published reports.These complications and patterns of bone erosion have not previously been described in keratosis obturans. The third patient is believed to have the most extensive case of keratosis obturans yet described.


1999 ◽  
Vol 102 (6) ◽  
pp. 500-504 ◽  
Author(s):  
L. C. Olivier ◽  
K. Peitgen ◽  
A. Pulate ◽  
U. Wolfhard
Keyword(s):  

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