A simplified technique for the management of acquired stenosis of the external auditory canal

Abstract

AbstractAcquired stenosis of the external auditory canal is known to be a surgical problem. This is indicated by the fact that numerous techniques have been devised. A simple but successful technique has been used by the authors. Excision of the subepithelial stenotic tissue and a wedge of skin from the floor of the external auditory canal is done, and a rubber tube is inserted inside the external canal for six weeks. Thirteen out of 16 operations have shown the validity of this technique.Stenosis of the external auditory canal (Fig. 1) has various aetiological causes, and the stenotic area may affect the whole length of the external auditory canal or just a small segment.In view of the fact that so many possible causes exist, numerous techniques have been used to treat this problem surgically, and this illustrates that the repair may be difficult.Considerable pessimism appears in the literature. Reference to failures may be found in many publications (Anthony, 1957; Beales, 1974). A simple but effective technique is needed, and this is our aim.