Treatment of external auditory canal stenosis and atresia after transcanal endoscopic ear surgery
To discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery. We retrospectively analyzed the medical records of 11 patients who developed external auditory canal stenosis or atresia after undergoing transcanal endoscopic ea...
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| Published in | American journal of otolaryngology Vol. 45; no. 2; p. 104175 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
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Elsevier Inc
01.03.2024
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| Abstract | To discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery.
We retrospectively analyzed the medical records of 11 patients who developed external auditory canal stenosis or atresia after undergoing transcanal endoscopic ear surgery. The 10 patients with stenosis were treated with external auditory canal expansion via drainage tube insertion; 2 of these patients further received local injections of triamcinolone acetonide. One patient with atresia was treated with meatoplasty surgery followed by tube insertion and triamcinolone acetonide injection.
The stenosis/atresia improved in all patients, and the external auditory canal was unobstructed without restenosis.
Stenosis/atresia of the external auditory canal after transcanal endoscopic ear surgery should be treated with dilation therapy/meatoplasty in a timely manner to prevent progressive hyperplasia of the scar and regain a normal-sized ear canal. |
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| AbstractList | PURPOSETo discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery.MATERIALS AND METHODSWe retrospectively analyzed the medical records of 11 patients who developed external auditory canal stenosis or atresia after undergoing transcanal endoscopic ear surgery. The 10 patients with stenosis were treated with external auditory canal expansion via drainage tube insertion; 2 of these patients further received local injections of triamcinolone acetonide. One patient with atresia was treated with meatoplasty surgery followed by tube insertion and triamcinolone acetonide injection.RESULTSThe stenosis/atresia improved in all patients, and the external auditory canal was unobstructed without restenosis.CONCLUSIONSStenosis/atresia of the external auditory canal after transcanal endoscopic ear surgery should be treated with dilation therapy/meatoplasty in a timely manner to prevent progressive hyperplasia of the scar and regain a normal-sized ear canal. To discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery. We retrospectively analyzed the medical records of 11 patients who developed external auditory canal stenosis or atresia after undergoing transcanal endoscopic ear surgery. The 10 patients with stenosis were treated with external auditory canal expansion via drainage tube insertion; 2 of these patients further received local injections of triamcinolone acetonide. One patient with atresia was treated with meatoplasty surgery followed by tube insertion and triamcinolone acetonide injection. The stenosis/atresia improved in all patients, and the external auditory canal was unobstructed without restenosis. Stenosis/atresia of the external auditory canal after transcanal endoscopic ear surgery should be treated with dilation therapy/meatoplasty in a timely manner to prevent progressive hyperplasia of the scar and regain a normal-sized ear canal. |
| ArticleNumber | 104175 |
| Author | Su, Yongjin Cai, Zhi Yang, Yuanyuan Guo, Lianrong Liu, Jun |
| Author_xml | – sequence: 1 givenname: Lianrong surname: Guo fullname: Guo, Lianrong email: lrguo@pkuszh.com – sequence: 2 givenname: Yuanyuan surname: Yang fullname: Yang, Yuanyuan – sequence: 3 givenname: Jun surname: Liu fullname: Liu, Jun – sequence: 4 givenname: Yongjin surname: Su fullname: Su, Yongjin – sequence: 5 givenname: Zhi surname: Cai fullname: Cai, Zhi |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/38113773$$D View this record in MEDLINE/PubMed |
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| Keywords | Dilation External auditory canal stenosis Transcanal endoscopic surgery External auditory canal atresia |
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scars: myth or reality? A systematic review publication-title: Burns doi: 10.1016/j.burns.2023.03.007 contributor: fullname: De Decker – volume: 133 year: 2019 ident: 10.1016/j.amjoto.2023.104175_bb0050 article-title: A novel endoscopic hydro-mastoidectomy technique for transcanal endoscopic ear surgery publication-title: J Laryngol Otol doi: 10.1017/S002221511900046X contributor: fullname: Nishiike – volume: 130 year: 2020 ident: 10.1016/j.amjoto.2023.104175_bb0010 article-title: Endoscopic versus microscopic management of attic cholesteatoma: a randomized controlled trial publication-title: Laryngoscope doi: 10.1002/lary.28446 contributor: fullname: Das – volume: 14 year: 2019 ident: 10.1016/j.amjoto.2023.104175_bb0030 article-title: Post-inflammatory acquired atresia of the external auditory canal publication-title: J Otol contributor: fullname: Kmeid – volume: 26 year: 2013 ident: 10.1016/j.amjoto.2023.104175_bb0115 article-title: Pressure garment therapy (PGT) of burn scars: evidence-based efficacy publication-title: Ann Burns Fire Disasters contributor: fullname: Atiyeh – volume: 138 year: 2018 ident: 10.1016/j.amjoto.2023.104175_bb0015 article-title: Acquired stenosis of the external auditory canal - long-term results and patient satisfaction publication-title: Acta Otolaryngol doi: 10.1080/00016489.2018.1476779 contributor: fullname: Schwarz – volume: 16 year: 1995 ident: 10.1016/j.amjoto.2023.104175_bb0025 article-title: Application of split-thickness skin grafts for acquired diseases of the external auditory canal publication-title: Am J Otol contributor: fullname: McCary – volume: 26 start-page: 40 year: 2018 ident: 10.1016/j.amjoto.2023.104175_bb0080 article-title: Individualized hollow resin support prevents stenosis of the external auditory canal after microtia surgery publication-title: Journal of Audiology and Speech Diseases contributor: fullname: Han – volume: 41 year: 2008 ident: 10.1016/j.amjoto.2023.104175_bb0085 article-title: Silicone Foley’s catheter: a useful splint in ear surgeries publication-title: Indian J Plast Surg doi: 10.4103/0970-0358.41111 contributor: fullname: Karanth – volume: 35 year: 2015 ident: 10.1016/j.amjoto.2023.104175_bb0100 article-title: Stretching stenoses of the external auditory canal: a report of four cases and brief review of the literature publication-title: Acta Otorhinolaryngol Ital contributor: fullname: Tirelli – volume: 52 year: 2019 ident: 10.1016/j.amjoto.2023.104175_bb0135 article-title: Principles of pediatric endoscopic ear surgery publication-title: Otolaryngol Clin North Am doi: 10.1016/j.otc.2019.06.001 contributor: fullname: Miller – volume: 22 start-page: 363 year: 2022 ident: 10.1016/j.amjoto.2023.104175_bb0070 article-title: Observation on the curative effect of local injection of triamcinolone acetonide in the treatment of cicatricial external auditory canal stenosis publication-title: Chinese Journal of Otolaryngology contributor: fullname: Chen – volume: 25 start-page: 24 year: 2011 ident: 10.1016/j.amjoto.2023.104175_bb0040 article-title: Surgical treatment of aural atresia/stenosis in 15 cases publication-title: Journal of Otolaryngology and Ophthalmology of Shandong University contributor: fullname: Lian-Rong |
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| Snippet | To discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery.
We retrospectively... PURPOSETo discuss the treatment of external auditory canal stenosis or atresia occurring as a complication of transcanal endoscopic ear surgery.MATERIALS AND... |
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| SubjectTerms | Dilation External auditory canal atresia External auditory canal stenosis Transcanal endoscopic surgery |
| Title | Treatment of external auditory canal stenosis and atresia after transcanal endoscopic ear surgery |
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