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Mankekar G, Entezami P. Acquired Stenosis of the External Ear Canal. Otolaryngol Clin North Am 2023; 56:919-931. [PMID: 37553271 DOI: 10.1016/j.otc.2023.06.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/10/2023]
Abstract
Acquired stenosis of the external ear canal (ASEEC) is a relatively uncommon condition. Stenosis or narrowing of the external ear canal (EEC) occurs lateral to the tympanic membrane resulting in a skin lined blind canal. Recurrent otorrhea, and conductive hearing loss are typical clinical features. Although ASEEC can be due to different etiologies, a common pathogenesis, namely an inflammatory cascade, has been implicated. Clinical evaluation, audiogram, and Computed tomography (CT scan) form the mainstay of diagnosis. Surgery is the primary modality for treatment. Restenosis is the most common postsurgical complication.
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Affiliation(s)
- Gauri Mankekar
- Department of Otolaryngology-Head Neck Surgery, Louisiana State University Health, Shreveport, LA, USA.
| | - Payam Entezami
- Department of Otolaryngology-Head Neck Surgery, Louisiana State University Health, Shreveport, LA, USA
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Magos T, Rudd J, Connor S, Setterfield J, Obholzer R. Otic lichen planus - A review of the literature and United Kingdom case series. Clin Otolaryngol 2023; 48:79-82. [PMID: 36148492 DOI: 10.1111/coa.13984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Revised: 07/13/2022] [Accepted: 08/28/2022] [Indexed: 01/07/2023]
Affiliation(s)
- Tiarnan Magos
- ENT Department, Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - James Rudd
- Guy's and St. Thomas' NHS Foundation Trust, London, UK
| | - Steve Connor
- Guy's and St. Thomas' NHS Foundation Trust, London, UK
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Milani A, Pace A, Iannella G, Corsi A, Cocuzza S, Maniaci A, Greco A, Magliulo G. Recessive Dystrophic Epidermolysis Bullosa: Rare Bilateral External Auditory Canal Stenosis and Surgical Treatment. CLINICAL MEDICINE INSIGHTS-CASE REPORTS 2022; 15:11795476221131196. [PMID: 36544566 PMCID: PMC9761233 DOI: 10.1177/11795476221131196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 09/20/2022] [Indexed: 12/23/2022]
Abstract
Epidermolysis bullosa (EB) is a family of rare genetic disorders affecting the skin and mucous membranes, causing blisters and lesions. Its treatment is based on the prevention of traumatic events that could favor the onset of blisters as well as careful wound care. New therapies, including gene therapy, are under investigation. In the case described here, a rare localization of EB at the level of the ear canal is described. To our knowledge, no surgical option for treatment has previously been described in the literature. The clinical features observed and the therapeutic modalities adopted are presented and discussed. A 56-year-old female patient came to our attention for bilateral progressive hearing loss. The patient was suffering from Dystrophic EB. Surgical correction of the stenosis through a retroauricular approach was planned, with the simultaneous reconstruction of the right external auditory canal using the canaloplasty technique combined with Thiersch skin grafting. The case we report here is, to our knowledge, the second describing the surgical treatment of ear canal stenosis secondary to EB. As a result of surgical correction of the stenosis, the ear regained its physiological function and there was an improvement in hearing. In the subsequent post-operative controls, there was no recurrence of the disease, from which the patient is still free 36 months after surgery. Although conservative treatment is a solid choice, our experience seems to indicate that the surgical option allows better management of the Dystrophic EB in the external auditory canal.
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Affiliation(s)
- Alessandro Milani
- Organi di Senso Department, Sapienza
University of Rome, Rome, Italy
| | - Annalisa Pace
- Organi di Senso Department, Sapienza
University of Rome, Rome, Italy,Scienze Chirurgiche Department,
Sapienza University of Rome, Rome, Italy
| | - Giannicola Iannella
- Organi di Senso Department, Sapienza
University of Rome, Rome, Italy,Scienze Chirurgiche Department,
Sapienza University of Rome, Rome, Italy,Department of Head-Neck Surgery,
Otolaryngology, Head-Neck, and Oral Surgery Unit, Morgagni Pierantoni Hospital,
Forlì, Italy
| | - Alessandro Corsi
- Department of Molecular Medicine,
Sapienza University of Rome, Rome, Italy
| | - Salvatore Cocuzza
- Otorinolaringoiatria Department,
University of Catania, Catania, Italy
| | - Antonino Maniaci
- Otorinolaringoiatria Department,
University of Catania, Catania, Italy
| | - Antonio Greco
- Organi di Senso Department, Sapienza
University of Rome, Rome, Italy
| | - Giuseppe Magliulo
- Organi di Senso Department, Sapienza
University of Rome, Rome, Italy,Giuseppe Magliulo, Organi di Senso
Department, Sapienza University of Rome, Via Gregorio VII n.80, Rome 00165,
Italy.
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Guo LN, Shin JJ, Schulte S, Merola JF. Severe recalcitrant otic lichen planus treated with mycophenolate mofetil. JAAD Case Rep 2020; 8:1-3. [PMID: 33457480 PMCID: PMC7797928 DOI: 10.1016/j.jdcr.2020.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Affiliation(s)
- Lisa N Guo
- Harvard Medical School, Boston, Massachusetts.,Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts
| | - Jennifer J Shin
- Harvard Medical School, Boston, Massachusetts.,Division of Otolaryngology-Head and Neck Surgery, Brigham and Women's Hospital, Boston, Massachusetts
| | - Stephanie Schulte
- Harvard Medical School, Boston, Massachusetts.,Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts
| | - Joseph F Merola
- Harvard Medical School, Boston, Massachusetts.,Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts
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Altunisik N, Koc A, Toplu Y, Sener S, Turkmen D, Sarac G, Durmaz I. Evaluation of hearing function in patients with lichen planus. Med Hypotheses 2020; 143:109867. [DOI: 10.1016/j.mehy.2020.109867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/07/2020] [Accepted: 05/21/2020] [Indexed: 10/24/2022]
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Lazzerini F, Bruschini L, Berrettini S, De Vito A, Forli F. Lichen planus of the external auditory canal: Treatment options and review of literature. Clin Case Rep 2020; 8:2017-2020. [PMID: 33088542 PMCID: PMC7562884 DOI: 10.1002/ccr3.3049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 05/28/2020] [Accepted: 05/29/2020] [Indexed: 11/19/2022] Open
Abstract
Medical topic therapies can relieve symptoms associated with lichen planus of external auditory canal. Further, bone‐anchored hearing devices represent an optimal solution for hearing restoration in otic lichen planus.
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Affiliation(s)
| | - Luca Bruschini
- ENT Audiology and Phoniatric Unit University Hospital of Pisa Pisa Italy
| | - Stefano Berrettini
- ENT Audiology and Phoniatric Unit University Hospital of Pisa Pisa Italy.,Division of ENT Diseases Karolinska Institute Stockholm Sweden
| | - Andrea De Vito
- ENT Audiology and Phoniatric Unit University Hospital of Pisa Pisa Italy
| | - Francesca Forli
- ENT Audiology and Phoniatric Unit University Hospital of Pisa Pisa Italy
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