E Hopsu1, A Pitkäranta. 1. Department of Otorhinolaryngology, Kymenlaakso Central Hospital, Kotka, Finland. erkki.hopsu@kymshp.fi
Abstract
BACKGROUND: Of the acquired ear canal atresias, idiopathic, inflammatory, medial meatal, fibrotising otitis has been suggested as a distinct disease entity, for reasons of aetiology. OBJECTIVE: To report three more cases of idiopathic, inflammatory, medial meatal, fibrotising otitis and to further consider the possible relationship between this condition and lichen planus. PATIENTS: Three adult patients with idiopathic, inflammatory, medial meatal, fibrotising otitis, two with bilateral aural symptoms, treated and followed up at the department of otorhinolaryngology of Helsinki University Hospital. RESULTS: We found idiopathic, inflammatory, medial meatal, fibrotising otitis, affecting solely the glabrous skin of the osseous part of the external ear canals, in three patients who also suffered from severe oral lichen planus. CONCLUSIONS: The aetiopathology or pathophysiology of idiopathic, inflammatory, medial meatal, fibrotising otitis may be linked with lichen planus. Early, active treatment of idiopathic, inflammatory, medial meatal, fibrotising otitis with local corticosteroids may prevent total medial meatal atresia.
BACKGROUND: Of the acquired ear canal atresias, idiopathic, inflammatory, medial meatal, fibrotising otitis has been suggested as a distinct disease entity, for reasons of aetiology. OBJECTIVE: To report three more cases of idiopathic, inflammatory, medial meatal, fibrotising otitis and to further consider the possible relationship between this condition and lichen planus. PATIENTS: Three adult patients with idiopathic, inflammatory, medial meatal, fibrotising otitis, two with bilateral aural symptoms, treated and followed up at the department of otorhinolaryngology of Helsinki University Hospital. RESULTS: We found idiopathic, inflammatory, medial meatal, fibrotising otitis, affecting solely the glabrous skin of the osseous part of the external ear canals, in three patients who also suffered from severe oral lichen planus. CONCLUSIONS: The aetiopathology or pathophysiology of idiopathic, inflammatory, medial meatal, fibrotising otitis may be linked with lichen planus. Early, active treatment of idiopathic, inflammatory, medial meatal, fibrotising otitis with local corticosteroids may prevent total medial meatal atresia.
Authors: Saranya Sasikumar; S G Maneesh; Sobhana Chandran; K S Raghavendra; Suhel Hasan; I P Umerali; Monica Mrudubhashini Michael; K G Yadu Krishnan; Chinchu Raveendran; S Malavika Journal: Indian J Otolaryngol Head Neck Surg Date: 2020-10-20
Authors: Valerie Droessaert; Robby Vanspauwen; Erwin Offeciers; Andrzej Zarowski; Joost van Dinther; Thomas Somers Journal: Int Arch Otorhinolaryngol Date: 2017-02-28