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Published on: October 13, 2017
External auditory canal closure: an alternative management for the refractory chronically draining ear
Naohiro Yoshida1, Calhoun D Cunningham, John T McElveen
1Department of Otolaryngology, Tohoku University, School of Medicine, Sendai, Japan.
Summary
External auditory canal (EAC) closure effectively treats chronic ear drainage. This surgical technique, with or without a bone-anchored hearing aid (BAHA) implant, offers a viable solution for persistent ear issues.
Area of Science:
- Otolaryngology
- Surgical Techniques
- Auditory Health
Background:
- Chronic otorrhea (ear drainage) can be debilitating.
- Refractory cases often require advanced surgical intervention.
Purpose of the Study:
- To detail the surgical technique for external auditory canal (EAC) closure.
- To assess the efficacy of EAC closure for chronic ear drainage.
Main Methods:
- Retrospective case review of seven patients.
- EAC closure performed between 2001 and 2004.
- Concomitant bone-anchored hearing aid (BAHA) or cochlear implantation in select cases.
Main Results:
- Successful EAC closure achieved in all seven patients.
- Complete elimination of chronic ear drainage.
- No instances of iatrogenic cholesteatoma or closure breakdown observed.
- Follow-up ranged from 10 to 35 months.
Conclusions:
- EAC closure is an effective treatment for refractory chronic ear drainage.
- It can be performed alone or combined with BAHA implantation.
- BAHA implants can be staged or placed concurrently.
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