This article describes a new canalplasty technique for the treatment of symptoms resulting from chronic refractory otitis externa.
Methods:
We report on our experience using a swing-door island flap and a periosteal flap. Thirteen patients underwent treatment and a total of 19 ears were operated on. The range of preoperative symptoms was 3 to 22 years (mean length of symptoms = 12 years).
Results:
The postoperative course in all the patients showed this to be a satisfactory treatment with no recurrence of symptoms.
Conclusion:
The swing-door island flap canalplasty technique is an effective surgical treatment in patients with refractory otitis externa.
TosMBondingP. Treatment of postinflammatory acquired atresia of the external auditory canal. ORL J Otorhinolaryngol Relat Spec. 1979;41(2):85-90.
11.
KatzkeDPohlDV. Postinflammatory medial meatal fibrosis. A neglected entity?Arch Otolaryngol. 1982;108(12):779-780.
12.
TosMBalleV. Postinflammatory acquired atresia of the external auditory canal: late results of surgery. Am J Otol. 1986;7(5):365-370.
13.
ParisierSCBentJPIII. Canalplasty. Otolaryngol Clin North Am. 1999;32(3):457-469.
14.
ParisierSCLevensonMJHansonMB. Canalplasty. Otolaryngol Clin North Am. 1996;29(5):867-886.
15.
ProudGO. Surgery for chronic, refractory otitis externa. Arch Otolaryngol. 1966;83(5):436-438.
16.
LavyJFaganP. Canalplasty: review of 100 cases. J Laryngol Otol. 2001;115(4):270-273.
17.
LeekJH. Plastic surgery of the external auditory canal. Treatment of stenosis resulting from inflammation. Arch Otolaryngol. 1967;85(4):367-370.
18.
PaparellaMMKurkjianJM. Surgical treatment for chronic stenosing external otitis (including finding of unusual canal tumor). Laryngoscope. 1966;76(2):232-245.
19.
PaparellaMM. Surgical treatment of intractable external otitis. Laryngoscope. 1966;76(6):1136-1147.
20.
PaparellaMMGoycooleaMV. Canalplasty for chronic intractable external otitis and keratosis obturans. Otolaryngol Head Neck Surg. 1981;89(3, pt 1):440-443.
21.
PotterCPBottrillID. Outcomes of canalplasty for chronic obliterative otitis externa. J Laryngol Otol. 2012;126(10):1016-1021.
22.
SpectorGJSobolSThawleySE. Split thickness skin grafting in canaloplasty for acquired ear atresia. Laryngoscope. 1979;89(4):674-676.
23.
McCaryWSKryzerTCLambertPR. Application of split-thickness skin grafts for acquired diseases of the external auditory canal. Am J Otol. 1995;16(6):801-805.
24.
MooreGFMooreIJYonkersAJNissenAJ. Use of full thickness skin grafts in canalplasty. Laryngoscope. 1984;94(8):1117-1118.
25.
DhoogeIJVermeerschHF. The use of two pedicled skin flaps in the surgical treatment of acquired atresia of the outer ear canal. Clin Otolaryngol Allied Sci. 1999;24(1):58-60.
BanerjeeARMoirAAJervisPNarulaAA. A canalplasty technique for the surgical treatment of chronic otitis externa. Clin Otolaryngol Allied Sci. 1995;20(2):150-152.
SolimanTFatt-HiAAbdel KadirM. A simplified technique for the management of acquired stenosis of the external auditory canal. J Laryngol Otol. 1980;94(5):549-552.
31.
KumarBNWalshRMCourteney-HarrisRGWilsonPS. Treatment of chronic otitis externa by KTP/532 laser. J Laryngol Otol. 1997;111(12):1126-1129.
