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Radical meatoplasty in the treatment of severe chronic external otitis
- Source :
- ORL; journal for oto-rhino-laryngology and its related specialties. 63(1)
- Publication Year :
- 2001
-
Abstract
- In the beginning, external otitis is an inflammation of the skin of the external ear canal. Partial or total obliteration of the meatus causes cleaning problems, which worsen the obliteration, and hence, the infection. Immunosuppressive medication or illness, certain dermatological problems or frequent infections may lead to irreversible changes and to the malignant form of external otitis with life-threatening sequelae. Conservative treatments in the beginning are aimed at regaining the normal skin functions by helping the cleaning process and curing the acute infection with repeated irrigation, proper antibacterial medication and corticosteroids and anti-inflammatory analgesics. In rare prolonged cases, surgical procedures are needed to help the cleaning process by removing the irreversibly thickened skin and bone affections, and using grafts. On the basis of our experience, even the removal of the diseased skin and enlarging of the external ear canal are insufficient procedures in the most difficult cases. In the present paper, we describe a new surgical method that we have performed to treat chronic bilateral obliterative external otitis in 2 patients, with favorable results.
- Subjects :
- Male
medicine.medical_specialty
Meatus
Prednisolone
Acute infection
Ear disease
Severity of Illness Index
Mastoid
Anti-Infective Agents
Ciprofloxacin
Psoriasis
medicine
Humans
Ear canal
Thickened skin
Glucocorticoids
Postoperative Care
business.industry
Middle Aged
medicine.disease
Otitis Externa
Surgery
Otitis
medicine.anatomical_structure
Otorhinolaryngology
Female
medicine.symptom
Complication
business
Otologic Surgical Procedures
Tomography, X-Ray Computed
Subjects
Details
- ISSN :
- 03011569
- Volume :
- 63
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- ORL; journal for oto-rhino-laryngology and its related specialties
- Accession number :
- edsair.doi.dedup.....b65a88542b3cf740443eb2df4aa60f26