CC BY-NC-ND 4.0 · Laryngorhinootologie 2019; 98(S 02): S137
DOI: 10.1055/s-0039-1686416
Abstracts
Otology

Challenges of external ear canal surgery

HG Kempf
1   Wuppertal, Wuppertal
,
G Lehnerdt
2   HNO-Klinik St. Anna Wuppertal, Wuppertal
,
R Schatton
3   Praxis, Hilden
› Author Affiliations
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    Introduction:

    Surgery of the external ear canal (EAC) seems often easy and only a way to pathologies of the ear drum and middle ear. Nevertheless several important diseases affect the EAC and need a special, in many cases operative therapy.

    Study/Results:

    The presentation gives a specific overview about the pathological enteties of the EAC with special focus on operative procedures. Indication, diagnostics and therapy of EAC exostoses, postinfectious meatal fibrosis (PIMF), malignant external otitis, cholsteatoma and carcinoma of the EAC are demonstrated with selected cases and the different approaches. New results of the pathogenesis of PIMF (Moser et al [2014] OtolNeurootol 36:191 – 197) are explained. Especially in hearing aid application for elderly patients sufficient function and integrity of the EAC is important.

    Conclusion:

    A subtile pathology adapted microsurgical technique in connection with reconstructive procedures (skin, split skin, cartilage) gives very good long term results also related to a consequent postoperative care. Using the shown strategies the patients will be contented even in wearing their hearing aids. An affected contralateral ear should be operated within 6 – 9 months.


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    Prof.Dr. Hans-Georg Kempf
    Wuppertal,
    Altenbergerstr.10, 42119
    Wuppertal

    Publication History

    Publication Date:
    23 April 2019 (online)

    © 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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