Abstract
Abstract
Acquired external auditory canal atresia is an uncommon entity which can arise from a number of different causes including infection, trauma, neoplasia, inflammation and radiotherapy. Posttraumatic atresias are extremely rare, only 10% of atresias are attributed to trauma in most of the series. The presence of canal atresia causes associated morbidity, patients generally suffer from conductive hearing loss and persistent otorrhea. Surgery is the treatment of choice for posttraumatic atresias. The aim of surgery is to produce a dry, patent ear canal by removing the atretic segment and enlarging the bony canal. In this paper, we present a case of posttraumatic external auditory canal atresia and accompanying tympanic membrane perforation managed successfully 22 years after trauma.
Keywords: External ear canal, atresia, conductive hearing loss, canalplasty
Özet
Akkiz dış kulak yolu atrezisi enfeksiyon, travma, neoplaziler, inflamasyon ve radyoterapi gibi sebeplere bağlı gelişebilen nadir bir durumdur. Posttravmatik vakalar oldukça nadirdir, yapılan çalışmalarda akkiz dış kulak yolu atrezilerinin sadece %10 kadarının travma sonrası geliştiği saptanmıştır. Dış kulak yolu atrezisi iletim tipi işitme kaybı ve persistan otore gibi şikayetlere yol açabilir. Tercih edilmesi gereken tedavi yöntemi cerrahidir. Cerrahinin amacı atretik kısmı eksize edip kemik kanalı genişleterek kuru ve açık bir dış kulak yolu elde edilmesidir. Bu çalışmada, 22 yıl önceki travma hikayesi sonrası gelişen dış kulak yolu atrezisi ve eşlik eden timpanik membran perforasyonu olan bir hasta ve tedavisi sunulmaktadır.
Anahtar sözcükler: Dış kulak yolu, iletim tipi işitme kaybı, kanalplastiReferences
- Becker BC, Tos M. Postinflammatory acquired atresia of the external auditory canal: treatment and results of surgery over 27 years. Laryngoscope 1998; 108: 903Slattery WH 3rd, Saadat P. Postinflammatory medial canal fibrosis. Am J Otol 1997; 18: 294-7.
- Cremers WR, Smeets JH. Acquired atresia of the external auditory canal. Surgical treatment and results. Arch Otolaryngol Head Neck Surg 1993; 119: 162Selesnick S, Nguyen TP, Eisenman DJ. Surgical treatment of acquired external auditory canal atresia. Am J Otol 1998; 19: 123-30.
- Birman CS, Fagan PA. Medial canal stenosis--chronic stenosing external otitis. Am J Otol 1996; 17: 2-6.
- Magliulo G. Acquired atresia of the external auditory canal: recurrence and longterm results. Ann Otol Rhinol Laryngol 2009; 118: 345-9.
- Jacobsen N, Mills R. Management of stenosis and acquired atresia of the external auditory meatus. J Laryngol Otol 2006; 120: 266-71.
- Paparella MM, Kurkjian JM. Surgical treatment of stenosis for chronic stenosing external otitis. Laryngoscope 1966; 76: 232-45.
- Roland PS. Chronic external otitis. Ear Nose Throat J 2001; 80: 12-6.
- McCary WS, Kryzer TC, Lambert PR. Application of split-thickness skin grafts for acquired diseases of the external auditory canal. Am J Otol 1995; 16: 801-5. Soliman T, Fatt-Hi A, Abdel Kadir M. A simplified technique for the management of acquired stenosis of the external auditory canal. J Laryngol Otol 1980; 94: 549-52.
- Adkins WY, Osguthorpe JD. Management of canal stenosis with a transposition flap. Laryngoscope 1981; 91: 1267-9.
- McDonald TJ, Facer GW, Clark JL. Surgical treatment of stenosis of the external auditory canal. Laryngoscope 1986; 96: 830-3.
- Bell DR. External auditory canal stenosis and atresia: dual flap surgery. J Otolaryngol 1988; 17: 19-21.
- Moore GF, Moore IJ, Yonkers AJ, Nissen AJ. Use of full thickness skin grafts in canalplasty. Laryngoscope 1984; 94: 1117-8.
- Tos M, Balle V. Postinflammatory acquired atresia of the external auditory canal: late results of surgery. Am J Otol 1986; 7: 365-70.
- Bonding P, Tos M. Postinflammatory acquired atresia of the external auditory canal. Acta Otolaryngol 1975; 79: 115-23.
Abstract
Akkiz dış kulak yolu atrezisi enfeksiyon, travma, neoplaziler, inflamasyon ve radyoterapi gibi sebeplere bağlı gelişebilen nadir bir durumdur. Posttravmatik vakalar oldukça nadirdir, yapılan çalışmalarda akkiz dış kulak yolu atrezilerinin sadece %10 kadarının travma sonrası geliştiği saptanmıştır. Dış kulak yolu atrezisi iletim tipi işitme kaybı ve persistan otore gibi şikayetlere yol açabilir. Tercih edilmesi gereken tedavi yöntemi cerrahidir. Cerrahinin amacı atretik kısmı eksize edip kemik kanalı genişleterek kuru ve açık bir dış kulak yolu elde edilmesidir. Bu çalışmada, 22 yıl önceki travma hikayesi sonrası gelişen dış kulak yolu atrezisi ve eşlik eden timpanik membran perforasyonu olan bir hasta ve tedavisi sunulmaktadır.
References
- Becker BC, Tos M. Postinflammatory acquired atresia of the external auditory canal: treatment and results of surgery over 27 years. Laryngoscope 1998; 108: 903Slattery WH 3rd, Saadat P. Postinflammatory medial canal fibrosis. Am J Otol 1997; 18: 294-7.
- Cremers WR, Smeets JH. Acquired atresia of the external auditory canal. Surgical treatment and results. Arch Otolaryngol Head Neck Surg 1993; 119: 162Selesnick S, Nguyen TP, Eisenman DJ. Surgical treatment of acquired external auditory canal atresia. Am J Otol 1998; 19: 123-30.
- Birman CS, Fagan PA. Medial canal stenosis--chronic stenosing external otitis. Am J Otol 1996; 17: 2-6.
- Magliulo G. Acquired atresia of the external auditory canal: recurrence and longterm results. Ann Otol Rhinol Laryngol 2009; 118: 345-9.
- Jacobsen N, Mills R. Management of stenosis and acquired atresia of the external auditory meatus. J Laryngol Otol 2006; 120: 266-71.
- Paparella MM, Kurkjian JM. Surgical treatment of stenosis for chronic stenosing external otitis. Laryngoscope 1966; 76: 232-45.
- Roland PS. Chronic external otitis. Ear Nose Throat J 2001; 80: 12-6.
- McCary WS, Kryzer TC, Lambert PR. Application of split-thickness skin grafts for acquired diseases of the external auditory canal. Am J Otol 1995; 16: 801-5. Soliman T, Fatt-Hi A, Abdel Kadir M. A simplified technique for the management of acquired stenosis of the external auditory canal. J Laryngol Otol 1980; 94: 549-52.
- Adkins WY, Osguthorpe JD. Management of canal stenosis with a transposition flap. Laryngoscope 1981; 91: 1267-9.
- McDonald TJ, Facer GW, Clark JL. Surgical treatment of stenosis of the external auditory canal. Laryngoscope 1986; 96: 830-3.
- Bell DR. External auditory canal stenosis and atresia: dual flap surgery. J Otolaryngol 1988; 17: 19-21.
- Moore GF, Moore IJ, Yonkers AJ, Nissen AJ. Use of full thickness skin grafts in canalplasty. Laryngoscope 1984; 94: 1117-8.
- Tos M, Balle V. Postinflammatory acquired atresia of the external auditory canal: late results of surgery. Am J Otol 1986; 7: 365-70.
- Bonding P, Tos M. Postinflammatory acquired atresia of the external auditory canal. Acta Otolaryngol 1975; 79: 115-23.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | June 27, 2013 |
| Published in Issue | Year 2013Volume: 35 Issue: 2 |