Postinflammatory Acquired Atresia of the External Auditory Canal: Treatment and Results of Surgery Over 27 Years
Postinflammatory, acquired atresia of the external auditory meatus is a relatively rare consequence of chronic otitis media or recurrent external otitis with an annual incidence of 0.6 cases per 100,000 inhabitants. Primary and late results after operative treatment of this condition in 53 ears over...
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Veröffentlicht in: | The Laryngoscope 1998-06, Vol.108 (6), p.903-907 |
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description | Postinflammatory, acquired atresia of the external auditory meatus is a relatively rare consequence of chronic otitis media or recurrent external otitis with an annual incidence of 0.6 cases per 100,000 inhabitants. Primary and late results after operative treatment of this condition in 53 ears over 27 years are presented. Perioperative findings are described, and an outline of applied surgical technique is given. Six patients had bilateral involvement. The male‐to‐female ratio was 1:2, median age at surgery was 46 years, and the median follow‐up period was 5 years (range, 4 mo to 13 y). In 11% of the cases, recurrent atresia developed. Early operation is recommended, because cholesteatoma behind the atresia was found in 9%. Hearing improvement has been considerable after removal of the atresia with primary closure of airbone gap within 20 dB in 90% of the cases. |
doi_str_mv | 10.1097/00005537-199806000-00021 |
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Primary and late results after operative treatment of this condition in 53 ears over 27 years are presented. Perioperative findings are described, and an outline of applied surgical technique is given. Six patients had bilateral involvement. The male‐to‐female ratio was 1:2, median age at surgery was 46 years, and the median follow‐up period was 5 years (range, 4 mo to 13 y). In 11% of the cases, recurrent atresia developed. Early operation is recommended, because cholesteatoma behind the atresia was found in 9%. Hearing improvement has been considerable after removal of the atresia with primary closure of airbone gap within 20 dB in 90% of the cases.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-199806000-00021</identifier><identifier>PMID: 9628508</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Cholesteatoma - complications ; Cholesteatoma - pathology ; Cholesteatoma - surgery ; Chronic Disease ; Ear Canal - pathology ; Ear Canal - physiopathology ; Ear Canal - surgery ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Female ; Hearing Loss, Sensorineural - diagnosis ; Hearing Loss, Sensorineural - etiology ; Humans ; Male ; Medical sciences ; Non tumoral diseases ; Otitis Externa - complications ; Otitis Externa - pathology ; Otitis Externa - surgery ; Otitis Media with Effusion - complications ; Otitis Media with Effusion - pathology ; Otitis Media with Effusion - surgery ; Otorhinolaryngology. Stomatology ; Recurrence ; Retrospective Studies ; Tympanic Membrane - pathology ; Tympanic Membrane - surgery</subject><ispartof>The Laryngoscope, 1998-06, Vol.108 (6), p.903-907</ispartof><rights>Copyright © 1998 The Triological Society</rights><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5041-1aca2f078d928791e3b90cc273a1b56984b9736897598140aa32087b007470793</citedby><cites>FETCH-LOGICAL-c5041-1aca2f078d928791e3b90cc273a1b56984b9736897598140aa32087b007470793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F00005537-199806000-00021$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F00005537-199806000-00021$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2256626$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9628508$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Becker, Birgit C.</creatorcontrib><creatorcontrib>Tos, Mirko</creatorcontrib><title>Postinflammatory Acquired Atresia of the External Auditory Canal: Treatment and Results of Surgery Over 27 Years</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Postinflammatory, acquired atresia of the external auditory meatus is a relatively rare consequence of chronic otitis media or recurrent external otitis with an annual incidence of 0.6 cases per 100,000 inhabitants. Primary and late results after operative treatment of this condition in 53 ears over 27 years are presented. Perioperative findings are described, and an outline of applied surgical technique is given. Six patients had bilateral involvement. The male‐to‐female ratio was 1:2, median age at surgery was 46 years, and the median follow‐up period was 5 years (range, 4 mo to 13 y). In 11% of the cases, recurrent atresia developed. Early operation is recommended, because cholesteatoma behind the atresia was found in 9%. Hearing improvement has been considerable after removal of the atresia with primary closure of airbone gap within 20 dB in 90% of the cases.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cholesteatoma - complications</subject><subject>Cholesteatoma - pathology</subject><subject>Cholesteatoma - surgery</subject><subject>Chronic Disease</subject><subject>Ear Canal - pathology</subject><subject>Ear Canal - physiopathology</subject><subject>Ear Canal - surgery</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Female</subject><subject>Hearing Loss, Sensorineural - diagnosis</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Otitis Externa - complications</subject><subject>Otitis Externa - pathology</subject><subject>Otitis Externa - surgery</subject><subject>Otitis Media with Effusion - complications</subject><subject>Otitis Media with Effusion - pathology</subject><subject>Otitis Media with Effusion - surgery</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Recurrence</subject><subject>Retrospective Studies</subject><subject>Tympanic Membrane - pathology</subject><subject>Tympanic Membrane - surgery</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFtv1DAQhS0EKkvhJyD5AfEW8CWObd5WS1uoVi0qRW2frEkygUAuW9uB7r_He-k-15Jlzcx3zliHEMrZB86s_sjSUUrqjFtrWJGqLF3Bn5EZV5JnubXqOZmllsyMErcvyasQfjPGtVTsiBzZQhjFzIysvo0htkPTQd9DHP2azqv7qfVY03n0GFqgY0PjL6QnDxH9AB2dT3W7JReQyk_02iPEHodIYajpFYapi2Gj-j75n5i4y7_oqdD0DsGH1-RFA13AN_v3mPw4PblefMmWl2dfF_NlVimW84xDBaJh2tRWGG05ytKyqhJaAi9VYU1eWi0LY7WyhucMQApmdMmYzjXTVh6T9zvflR_vJwzR9W2osOtgwHEKTlubC5VvQLMDKz-G4LFxK9_24NeOM7cJ2z2G7Q5hu23YSfp2v2Mqe6wPwn26af5uP4dQQdd4GKo2HDAhVFGIImGfd9i_tsP1k9e75fzqTqmcs9Td_ibb2bQh4sPBBvwfV2iplbu5OHNqcX5jz29P3YX8D04Tp00</recordid><startdate>199806</startdate><enddate>199806</enddate><creator>Becker, Birgit C.</creator><creator>Tos, Mirko</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199806</creationdate><title>Postinflammatory Acquired Atresia of the External Auditory Canal: Treatment and Results of Surgery Over 27 Years</title><author>Becker, Birgit C. ; Tos, Mirko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5041-1aca2f078d928791e3b90cc273a1b56984b9736897598140aa32087b007470793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cholesteatoma - complications</topic><topic>Cholesteatoma - pathology</topic><topic>Cholesteatoma - surgery</topic><topic>Chronic Disease</topic><topic>Ear Canal - pathology</topic><topic>Ear Canal - physiopathology</topic><topic>Ear Canal - surgery</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Female</topic><topic>Hearing Loss, Sensorineural - diagnosis</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otitis Externa - complications</topic><topic>Otitis Externa - pathology</topic><topic>Otitis Externa - surgery</topic><topic>Otitis Media with Effusion - complications</topic><topic>Otitis Media with Effusion - pathology</topic><topic>Otitis Media with Effusion - surgery</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Recurrence</topic><topic>Retrospective Studies</topic><topic>Tympanic Membrane - pathology</topic><topic>Tympanic Membrane - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Becker, Birgit C.</creatorcontrib><creatorcontrib>Tos, Mirko</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Becker, Birgit C.</au><au>Tos, Mirko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Postinflammatory Acquired Atresia of the External Auditory Canal: Treatment and Results of Surgery Over 27 Years</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>1998-06</date><risdate>1998</risdate><volume>108</volume><issue>6</issue><spage>903</spage><epage>907</epage><pages>903-907</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Postinflammatory, acquired atresia of the external auditory meatus is a relatively rare consequence of chronic otitis media or recurrent external otitis with an annual incidence of 0.6 cases per 100,000 inhabitants. Primary and late results after operative treatment of this condition in 53 ears over 27 years are presented. Perioperative findings are described, and an outline of applied surgical technique is given. Six patients had bilateral involvement. The male‐to‐female ratio was 1:2, median age at surgery was 46 years, and the median follow‐up period was 5 years (range, 4 mo to 13 y). In 11% of the cases, recurrent atresia developed. Early operation is recommended, because cholesteatoma behind the atresia was found in 9%. Hearing improvement has been considerable after removal of the atresia with primary closure of airbone gap within 20 dB in 90% of the cases.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>9628508</pmid><doi>10.1097/00005537-199806000-00021</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Adult Aged Biological and medical sciences Cholesteatoma - complications Cholesteatoma - pathology Cholesteatoma - surgery Chronic Disease Ear Canal - pathology Ear Canal - physiopathology Ear Canal - surgery Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Female Hearing Loss, Sensorineural - diagnosis Hearing Loss, Sensorineural - etiology Humans Male Medical sciences Non tumoral diseases Otitis Externa - complications Otitis Externa - pathology Otitis Externa - surgery Otitis Media with Effusion - complications Otitis Media with Effusion - pathology Otitis Media with Effusion - surgery Otorhinolaryngology. Stomatology Recurrence Retrospective Studies Tympanic Membrane - pathology Tympanic Membrane - surgery |
title | Postinflammatory Acquired Atresia of the External Auditory Canal: Treatment and Results of Surgery Over 27 Years |
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