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Prevalence of ‘surfer's ear’ in Cornish surfers

Published online by Cambridge University Press:  16 March 2015

B Attlmayr  and
I M Smith
B Attlmayr*
Affiliation:
ENT Department, Aintree University Hospital, Liverpool, UK
I M Smith
Affiliation:
ENT Department, Royal Cornwall Hospital, Truro, UK
*
Address for correspondence: Mr Bernhard Attlmayr, Aintree University Hospital NHS Foundation Trust, Aintree University Hospital, Longmoor Lane, Liverpool, L97AL, UK Fax: 0151 282 6177 E-mail: [email protected]
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Abstract

Objectives:

To establish the prevalence of external auditory canal exostosis (‘surfer's ear’) in Cornish surfers and investigate the potential impact on healthcare.

Method:

A total of 105 surfers were interviewed and otologically assessed on popular Cornish beaches. The degree of exostosis was graded as mild, moderate or severe.

Results:

The prevalence of external auditory canal exostosis was 63.81 per cent (33.33 per cent mild, 18.10 per cent moderate and 12.38 per cent severe). The degree of exostosis showed a significant correlation with absolute cold-water exposure time. However, there was individual variation in susceptibility to external auditory canal exostosis; 12 per cent of surfers with excessive cold-water exposure showed no exostosis. Regression analysis of surgical operations performed at the Royal Cornwall Hospital for exostosis over the last 13 years revealed an average increase of 1.23 operations per year, with an average of 13 cases per year over the last 9 years.

Conclusion:

Exostosis of the external auditory canal is common in Cornish surfers. There appears to be individual variation in terms of susceptibility to this condition. The possible reasons for this are discussed. The increase in the technically difficult surgical operations performed for exostosis is likely to have implications for health resources in the future.

Keywords

External Auditory CanalExostosesPrevalence
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 5 , May 2015 , pp. 440 - 444
Copyright
Copyright © JLO (1984) Limited 2015 

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Footnotes

Presented at the South West ENT Academic Meeting, 8 June 2012, Bath, UK.

References

1Zoltan, TB, Taylor, KS, Achar, SA. Health issues for surfers. Am Fam Phys 2005;71:2313–17Google ScholarPubMed
2Umeda, Y, Nakajima, M, Yoshioka, H. Surfer's ear in Japan. Laryngoscope 1989;99:639–41CrossRefGoogle ScholarPubMed
3Chaplin, JM, Stewart, IA. The prevalence of exostosis in the external auditory meatus of surfers. Clin Otolaryngol Allied Sci 1998;23:326–30CrossRefGoogle ScholarPubMed
4Wong, B, Cervantes, W, Doyle, KJ, Karamzadeh, AM, Boys, P, Brauel, G et al. Prevalence of external auditory canal exostosis in surfers. Arch Otolaryngol Head Neck Surg 1999;125:969–72CrossRefGoogle ScholarPubMed
5Kroon, DF, Lawson, ML, Derkay, CS, Hoffmann, K, McCook, J. Surfer's ear: external auditory exostoses are more prevalent in cold water surfers. Otolaryngol Head Neck Surg 2002;126:499–504CrossRefGoogle ScholarPubMed
6Altuna Mariezkurrena, X, Gómez Suárez, J, Luqui Albisua, I, Vea Orte, JC, Algaba Guimerá, J. Prevalence of exostosis among surfers of the Basque Coast [in Spanish]. Acta Otorrinolaringol Esp 2004;55:364–8CrossRefGoogle ScholarPubMed
7Hurst, W, Bailey, M, Hurst, B. Prevalence of external auditory canal exostosis in Australian surfboard riders. J Laryngol Otol 2004;118:348–51CrossRefGoogle ScholarPubMed
8Nakanishi, H, Tono, T, Kawano, H. Incidence of external auditory canal exostosis in competitive surfers in Japan. Otolaryngol Head Neck Surg 2011;145:80–5CrossRefGoogle ScholarPubMed
9Timofeev, I, Notkina, N, Smith, IM. Exostosis of the external auditory canal: a long-term follow-up study of surgical treatment. Clin Otolaryngol Allied Sci 2004;29:588–94CrossRefGoogle ScholarPubMed
10Watersports and Leisure Participation Survey 2009. In: http://www.bcu.org.uk/files/Watersports%20and%20Leisure%20Omnibus%202009%20%20final%20public.pdf [26 December 2014]Google Scholar
11Harrison, DFN. The relationship of osteomata of the external auditory meatus to swimming. Ann R Coll Surg Engl 1962;31:187–201Google ScholarPubMed
12Schrauwen, I, Von Camp, G. The aetiology of otosclerosis: a combination of genes and environment. Laryngoscope 2010;120:1195–202CrossRefGoogle ScholarPubMed
13Tshifularo, M, Joseph, CA. Otosclerosis and TGF-beta 1 gene in black South Africans. S Afr Med J 2008;98:720–3Google ScholarPubMed
14DiBartolomeo, JR. Exostoses of the external auditory canal. Ann Otol Rhinol Laryngol 1979;88:1–20CrossRefGoogle ScholarPubMed
15Reddy, VM, Abdelrahman, T, Lau, A, Flanagan, PM. Surfers' awareness of the preventability of ‘surfer's ear’ and use of water precautions. J Laryngol Otol 2011;125:551–3CrossRefGoogle ScholarPubMed