Universität zu Köln

Schwarz, David ORCID: 0000-0002-4580-8383, Luers, Jan Christoffer ORCID: 0000-0002-8273-2234, Huttenbrink, Karl Bernd and Stuermer, Konrad Johannes (2018). Acquired stenosis of the external auditory canal - long-term results and patient satisfaction. Acta Oto-Laryngol., 138 (9). S. 790 - 795. ABINGDON: TAYLOR & FRANCIS LTD. ISSN 1651-2251

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Abstract

Background: The surgical treatment of acquired post-inflammatory atresia of the external auditory canal (EAC) is challenging. Based on the long-term surgical experience, a modified split skin graft technique has been established at our clinic. Aims/Objectives: The aim was to evaluate the clinical and audiological data and patient satisfaction after performing meatoplasty. Material and methods: In total, 16 patients were included who underwent intraoperative enlargement of the bony EAC, resection of the fibrotic scar tissue, reconstruction with split skin grafts and splinting of the anterior tympanomeatal angle in the period of 2004-2016. Patients presented at a long-term follow-up appointment for reevaluation. Results: The mean follow-up time was 52 months after surgery. The pure-tone average (52dB vs. 31dB) and the air-bone gap (27dB vs. 11dB) decreased significantly compared to the preoperative status. The grade of stenosis also showed a significant improvement during the follow-up visit. Complete re-atresia was observed only in two patients (10.5%). Conclusion: The applied surgical technique is a safe and successful treatment option for acquired atresia of the EAC. Significance: The study provides important data for the surgical treatment of acquired atresia of the EAC and corroborates the significance of intensive aftercare.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schwarz, David UNSPECIFIED orcid.org/0000-0002-4580-8383 UNSPECIFIED Luers, Jan Christoffer UNSPECIFIED orcid.org/0000-0002-8273-2234 UNSPECIFIED Huttenbrink, Karl Bernd UNSPECIFIED UNSPECIFIED UNSPECIFIED Stuermer, Konrad Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-202095
DOI:	10.1080/00016489.2018.1476779
Journal or Publication Title:	Acta Oto-Laryngol.
Volume:	138
Number:	9
Page Range:	S. 790 - 795
Date:	2018
Publisher:	TAYLOR & FRANCIS LTD
Place of Publication:	ABINGDON
ISSN:	1651-2251
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ANTERIOR TYMPANOMEATAL ANGLE; SURGICAL-TREATMENT; ATRESIA; SURGERY; MANAGEMENT; FIBROSIS Multiple languages Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20209