Skip to main content Accessibility help
×
Home

Surgery for external auditory canal exostoses and osteomata

  • Edward W. Fisher (a1) and Terence C. McManus (a1)

Abstract

The popularity of water sports in Western Australia results in a high demand for surgery for meatal exostoses when compared to Europe or North America, and such procedures for advanced exostoses present a technical challenge.

We report on a decade of experience in exostosis and osteoma surgery consisting of 127 procedures on 102 patients. Exostectomy was an access manoeuvre for other otological procedures in 13 cases and five procedures were for regrowth of exostoses. Minor complications were seen after 22 per cent of operations. Major complications were experienced after five per cent for example canal stenosis, temporomandibular joint prolapse, sensorineural loss, persistent deep bony lip and persistent tympanic membrane perforation. There were no facial palsies.

Exostosis surgery should be reserved for failed conservative treatment and attention focused on adequate access, meatal skin preservation and tympanic membrane protection. An approach which concentrates on safe anterior landmarks and wide exposure is recommended to avoid serious complications.

Copyright

Corresponding author

E. W. Fisher, F.R.C.S., Senior Registrar, ENT Department Clinic 10, Addenbrooke's Hospital, Cambridge CB2 2QQ.

References

Hide All
Burton, F. A. (1923) Aural exostosis. Annals of Otology, Rhinology and Laryngology 32: 97117.
Clark, T. E. (1923) Electrolysis of exostosis of the ear. British Medical Journal 2: 656657.
Di Bartolomeo, J. R. (1979) Exostoses of the external auditory canal. Annals of Otology, Rhinology and Laryngology 88 (Suppl. 61): 120.
Fagan, P. A. (1990) The surgical removal of aural exostoses. Journal of the Otolaryngological Society of Australia 6: 220221.
Fowler, E. P., Osmun, P. M. (1942) New bone growth due to cold water in the ears. Archives of Otolaryngology 36: 455466.
Friedmann, I. (1974). Pathology of the Ear, Blackwell, Oxford, pp 152156.
Gerlings, P. G. (1979). Atlas of the Histopathology of Ear Tumours, Lloyd-Luke, London, pp 2133.
Gill, N. W. (1987) Surgical treatment of meatal exostoses. In Rob and Smiths Operative Surgery. 4th Edition. The Ear. (Ballantyne, J. C., Morrison, A., eds.), Butterworth-Heinemann, Oxford, pp 1315.
Glasscock, M. E., Shambaugh, G. E. (1990). Surgery of the Ear, 4th Edition, W. B. Saunders, Philadelphia, pp 203205.
Goodhill, V. (1979). Ear Diseases, Deafness and Dizziness, Harper and Row, Hagerstown, pp 466471.
Graham, M. D. (1979) Osteomas and exostoses of the external auditory canal. Annals of Otology, Rhinology and Laryngology 88: 566572.
Harrison, D. F. N. (1962) The relationship of osteomata of the external auditory meatus to swimming. Annals of the Royal College of Surgeons of England 31: 187201.
Hubby, L. M. (1947) Exostosis of the external auditory canal. In Surgery of the Ear. (Kopetzky, S. J., ed.), Thomas Nelson and Sons, New York, pp 155157.
Jung, T. K. (1989) External ear canal procedures. In Atlas of Otologic Surgery. (Goycoolea, M. V., ed.), W. B. Saunders, Philadelphia, pp 149158.
Kemink, J. L., Graham, M. D. (1982) Osteomas and exostoses of the external auditory canal - medical and surgical management. Journal of Otolaryngology 11: 101106.
Kopetzky, S. J. (1925). Otologic Surgery, Hoeber, New York, pp 4851.
Litton, W. B., Krause, C. J., Anson, B. A., Cohen, W. N. (1969) The relationship of the facial canal to the annular sulcus. Laryngoscope 79: 15841604.
Mawson, S. R. (1967). Diseases of the Ear, 2nd Edition, Arnold, London, pp 255257.
Michaels, L. (1987). Ear, Nose and Throat Histopathology, Springer-Verlag, London, p 63.
Naumann, H. H. (1982). Head and Neck Surgery, (Naumann, H. H., ed.), vol. 3, Ear, W. B. Saunders, Philadelphia, pp 7984.
Rhys-Evans, P. (1992) The paranasal sinuses and other enigmas: an aquatic evolutionary theory. Journal of Laryngology and Otology 106: 214225.
Roche, A. F. (1964) Aural exostoses in australian aboriginal skulls. Annals of Otology, Rhinology and Laryngology 73: 8291.
Schukneckt, H. F. (1974). Pathology of the Ear, Harvard University Press, Cambridge, p 385.
Schuknecht, H. E., Gulya, A. J. (1986). Anatomy of the Temporal Bone with Surgical Implications, Lea and Febiger, Philadelphia, pp 43–4.
Scrivener, B. P. (1982) Exostoses: how to get them right. Journal of the Otolaryngological Society of Australia 5: 6770.
Seftel, D. M. (1977) Ear canal hyperostosis: surfer's ear. Archives of Otolaryngology 103: 5860.
Sheehy, J. L. (1958) Osteoma of the external auditory canal. Laryngoscope 68: 16671673.
Sheehy, J. L. (1982) Diffuse exostoses and osteomata of the external auditory canal: a report of 100 operations. Otolaryngology - Head and Neck Surgery 90: 337342.
Tod, H. (1910) Exostosis of the right external meatus in a boy age 10. Proceedings of the Royal Society of Medicine (Otological section) 3: 7678.
Van Gilse, P. H. G. (1938) Des observations ulterieures sur la genese des exostoses du conduit externe par l'irritation d'eau froide. Acta Otolaryngologica 26: 343352.
Williams, B. J. (1988) The relationship of the facial nerve to the tympanic annulus and external auditory canal. Journal of the Otolaryngological Society of Australia 6: 9596.

Keywords

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed