Hypertrophic recurring lichen planus of the external auditory canal
We report a case of unilateral progressive primary hypertrophic lichen planus of the external auditory canal requiring several surgical interventions to deal with constant pruritus, otorrhoea, stenosis and conductive hearing loss. A 58-year-old woman was initially treated with meatoplasty for suspec...
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| Veröffentlicht in: | European annals of otorhinolaryngology, head and neck diseases head and neck diseases, 2019-04, Vol.136 (2), p.123-126 |
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| container_title | European annals of otorhinolaryngology, head and neck diseases |
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| creator | Košec, A. Kostić, M. Ajduk, J. Ries, M. |
| description | We report a case of unilateral progressive primary hypertrophic lichen planus of the external auditory canal requiring several surgical interventions to deal with constant pruritus, otorrhoea, stenosis and conductive hearing loss.
A 58-year-old woman was initially treated with meatoplasty for suspected chronic obliterating otitis externa. She remained symptom-free for 5 years, before the disease recurred, affecting other body surfaces as well. Otorrhoea, conductive hearing loss and pruritus worsened, and a canal wall down tympanomastoidectomy was performed, removing the skin of the external auditory canal and the tympanic membrane completely. Lichen planus was confirmed histopathologically.
Very few surgical results have been published on stenosis of the external auditory canal caused by lichen planus. Complete medial external auditory canal skin elevation and removal with postoperative split-skin grafting is advised for initial treatment. We discuss treatment options and surgical outcome after initial surgical failure. |
| doi_str_mv | 10.1016/j.anorl.2017.12.013 |
| format | Article |
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A 58-year-old woman was initially treated with meatoplasty for suspected chronic obliterating otitis externa. She remained symptom-free for 5 years, before the disease recurred, affecting other body surfaces as well. Otorrhoea, conductive hearing loss and pruritus worsened, and a canal wall down tympanomastoidectomy was performed, removing the skin of the external auditory canal and the tympanic membrane completely. Lichen planus was confirmed histopathologically.
Very few surgical results have been published on stenosis of the external auditory canal caused by lichen planus. Complete medial external auditory canal skin elevation and removal with postoperative split-skin grafting is advised for initial treatment. We discuss treatment options and surgical outcome after initial surgical failure.</description><identifier>ISSN: 1879-7296</identifier><identifier>EISSN: 1879-730X</identifier><identifier>DOI: 10.1016/j.anorl.2017.12.013</identifier><identifier>PMID: 30606652</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Conductive ; Ear canal ; Hearing loss ; Lichen planus ; Tympanomastoidectomy</subject><ispartof>European annals of otorhinolaryngology, head and neck diseases, 2019-04, Vol.136 (2), p.123-126</ispartof><rights>2018 Elsevier Masson SAS</rights><rights>Copyright © 2018 Elsevier Masson SAS. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c404t-f6a08c6cb1552fd3c00626a67acb31606796ed866fb110e8f12151af295c8adf3</citedby><cites>FETCH-LOGICAL-c404t-f6a08c6cb1552fd3c00626a67acb31606796ed866fb110e8f12151af295c8adf3</cites><orcidid>0000-0001-7315-8165 ; 0000-0001-7864-2060</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1879729618302047$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30606652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Košec, A.</creatorcontrib><creatorcontrib>Kostić, M.</creatorcontrib><creatorcontrib>Ajduk, J.</creatorcontrib><creatorcontrib>Ries, M.</creatorcontrib><title>Hypertrophic recurring lichen planus of the external auditory canal</title><title>European annals of otorhinolaryngology, head and neck diseases</title><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><description>We report a case of unilateral progressive primary hypertrophic lichen planus of the external auditory canal requiring several surgical interventions to deal with constant pruritus, otorrhoea, stenosis and conductive hearing loss.
A 58-year-old woman was initially treated with meatoplasty for suspected chronic obliterating otitis externa. She remained symptom-free for 5 years, before the disease recurred, affecting other body surfaces as well. Otorrhoea, conductive hearing loss and pruritus worsened, and a canal wall down tympanomastoidectomy was performed, removing the skin of the external auditory canal and the tympanic membrane completely. Lichen planus was confirmed histopathologically.
Very few surgical results have been published on stenosis of the external auditory canal caused by lichen planus. Complete medial external auditory canal skin elevation and removal with postoperative split-skin grafting is advised for initial treatment. We discuss treatment options and surgical outcome after initial surgical failure.</description><subject>Conductive</subject><subject>Ear canal</subject><subject>Hearing loss</subject><subject>Lichen planus</subject><subject>Tympanomastoidectomy</subject><issn>1879-7296</issn><issn>1879-730X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kMFOwzAMhiMEYtPYEyChHrm0xEmbtgcOaAKGNIkLSNyiNHVYpq4tSYvY25MxxhFfbEu__dsfIZdAE6AgbjaJajvXJIxCngBLKPATMoUiL-Oc07fTY81KMSFz7zc0BC-KkpbnZMKpoEJkbEoWy12PbnBdv7Y6cqhH52z7HjVWr7GN-ka1o486Ew1rjPBrQNeqJlJjbYfO7SKtQntBzoxqPM5_84y8Pty_LJbx6vnxaXG3inVK0yE2QtFCC11BljFTc02pYEKJXOmKQzgoLwXWhRCmAqBYGGCQgTKszHShasNn5Pqwt3fdx4h-kFvrNTbhRuxGLxmIlJZlmvEg5Qepdp33Do3snd0qt5NA5R6g3MgfgHIPUAKTAWCYuvo1GKst1n8zR1xBcHsQYHjz06KTXltsNdY2oBtk3dl_Db4BwRGCgA</recordid><startdate>201904</startdate><enddate>201904</enddate><creator>Košec, A.</creator><creator>Kostić, M.</creator><creator>Ajduk, J.</creator><creator>Ries, M.</creator><general>Elsevier Masson SAS</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7315-8165</orcidid><orcidid>https://orcid.org/0000-0001-7864-2060</orcidid></search><sort><creationdate>201904</creationdate><title>Hypertrophic recurring lichen planus of the external auditory canal</title><author>Košec, A. ; Kostić, M. ; Ajduk, J. ; Ries, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c404t-f6a08c6cb1552fd3c00626a67acb31606796ed866fb110e8f12151af295c8adf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Conductive</topic><topic>Ear canal</topic><topic>Hearing loss</topic><topic>Lichen planus</topic><topic>Tympanomastoidectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Košec, A.</creatorcontrib><creatorcontrib>Kostić, M.</creatorcontrib><creatorcontrib>Ajduk, J.</creatorcontrib><creatorcontrib>Ries, M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Košec, A.</au><au>Kostić, M.</au><au>Ajduk, J.</au><au>Ries, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypertrophic recurring lichen planus of the external auditory canal</atitle><jtitle>European annals of otorhinolaryngology, head and neck diseases</jtitle><addtitle>Eur Ann Otorhinolaryngol Head Neck Dis</addtitle><date>2019-04</date><risdate>2019</risdate><volume>136</volume><issue>2</issue><spage>123</spage><epage>126</epage><pages>123-126</pages><issn>1879-7296</issn><eissn>1879-730X</eissn><abstract>We report a case of unilateral progressive primary hypertrophic lichen planus of the external auditory canal requiring several surgical interventions to deal with constant pruritus, otorrhoea, stenosis and conductive hearing loss.
A 58-year-old woman was initially treated with meatoplasty for suspected chronic obliterating otitis externa. She remained symptom-free for 5 years, before the disease recurred, affecting other body surfaces as well. Otorrhoea, conductive hearing loss and pruritus worsened, and a canal wall down tympanomastoidectomy was performed, removing the skin of the external auditory canal and the tympanic membrane completely. Lichen planus was confirmed histopathologically.
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| ispartof | European annals of otorhinolaryngology, head and neck diseases, 2019-04, Vol.136 (2), p.123-126 |
| issn | 1879-7296 1879-730X |
| language | eng |
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| source | Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Conductive Ear canal Hearing loss Lichen planus Tympanomastoidectomy |
| title | Hypertrophic recurring lichen planus of the external auditory canal |
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