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Idiopathic, inflammatory, medial meatal, fibrotising otitis presenting with lichen planus

Published online by Cambridge University Press:  12 March 2007

E Hopsu  and
A Pitkäranta
E Hopsu*
Affiliation:
Department of Otorhinolaryngology, Kymenlaakso Central Hospital, Kotka, Finland
A Pitkäranta
Affiliation:
Department of Otorhinolaryngology, Helsinki University Central Hospital, University of Helsinki, Finland.
*
Address for correspondence: Dr Erkki Hopsu, Dept of Otorhinolaryngology, Kymenlaakso Central Hospital, Kotkantie 41, 48210 Kotka, Finland. Fax:  +358 5 2205245 E-mail: [email protected]
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Abstract

Background:

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.

Keywords

External Auditory CanalPathologic ConstrictionLichen PlanusOtitis Externa
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 796 - 799
Copyright
Copyright © JLO (1984) Limited 2007

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References

1Becker, BC, Tos, M. Postinflammatory acquired atresia of the external auditory canal: treatment and results of surgery over 27 years. Laryngoscope 1998;108:903–7CrossRefGoogle ScholarPubMed
2Hopsu, E, Pitkäranta, A. Idiopathic inflammatory medial meatal fibrotizing otitis. Arch Otolaryngol Head Neck Surg 2002;128:1313–16CrossRefGoogle ScholarPubMed
3Boyd, AS, Neldner, KH. Lichen planus. J Am Acad Dermatol 1991;25:593–619CrossRefGoogle ScholarPubMed
4Sugerman, PB, Savage, NW, Walsh, LJ, Zhao, ZZ, Zhou, XJ, Khan, A et al. The pathogenesis of oral lichen planus. Crit Rev Oral Biol Med 2002;13:350–65CrossRefGoogle ScholarPubMed
5Cribier, B, Frances, C, Chosidow, O. Treatment of lichen planus. An evidence-based medicine analysis of efficacy. Arch Dermatol 1998;134:1521–30CrossRefGoogle ScholarPubMed
6Martin, L, Moriniere, S, Machet, MC, Robier, A, Vaillant, L. Bilateral conductive deafness related to erosive lichen planus. J Laryngol Otol 1998;112:365–6CrossRefGoogle ScholarPubMed
7Boyd, AS, Neldner, KH. The isomorphic response of Koebner. Int J Dermatol 1990;29:401–10CrossRefGoogle ScholarPubMed
8Katzke, D, Pohl, DV. Postinflammatory medial meatal fibrosis. A neglected entity? Arch Otolaryngol 1982;108:779–80CrossRefGoogle ScholarPubMed
9Slattery, WH 3rd, Saadat, P. Postinflammatory medial canal fibrosis. Am J Otol 1997;18:294–7Google ScholarPubMed
10Eichel, BS, Simonton, KM. Stenosis of the external auditory meatus secondary to chronic external otitis treated by a simplified surgical method: report of case. Laryngoscope 1965;75:16–21CrossRefGoogle ScholarPubMed