A Novel Topical Treatment for Keratosis Obturans.

Objective: To present and evaluate the treatment of keratosis obturans (KO) using miconazole/triamcinolone 0.1% crème gauzes.
Study Design: A retrospective clinical capsule report.
Patients: Twelve patients diagnosed with KO between January 2000 and July 2020 visiting our tertiary hospital setting, were retrospectively reviewed.
Interventions: Either miconazole/triamcinolone 0.1% crème gauzes or periodic microscopic removal of the keratin plug.
Main Outcome Measures: No evidence of disease during microscopic inspection of the ear canal.
Results: Successful treatment with miconazole/triamcinolone 0.1% gauzes was seen in 4/7 patients (57%) and successful treatment of periodic cleaning of the ear canal was seen in 1/5 patients (20%).
Conclusions: Topical treatment of KO with miconazole/triamcinolone 0.1% crème gauzes in the ear canal could be considered as a treatment option for patients diagnosed with KO.
Competing Interests: The authors disclose no conflicts of interest.
(Copyright © 2021, Otology & Neurotology, Inc.)