Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-26T08:07:13.630Z Has data issue: false hasContentIssue false
  • English
  • Français

Removal of external ear canal exostoses by piezo surgery: a novel technique

Published online by Cambridge University Press:  13 August 2018

P M Puttasiddaiah  and
S T Browning
P M Puttasiddaiah*
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
S T Browning
Affiliation:
Department of Otolaryngology, Morriston Hospital, Swansea, Wales, UK
*
Author for correspondence: Mr Paramesh M Puttasiddaiah, Department of Otolaryngology, Morriston Hospital, Swansea SA6 6NL, Wales, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

External auditory canal exostoses are known to occur in patients who engage in cold-water sports. Although the majority of patients with exostosis remain asymptomatic, larger lesions can cause wax impaction, conductive hearing loss and predispose to recurrent otitis externa.

Objective

A novel technique is described of using a piezo saw to excise exostoses that are symptomatic. The piezo saw is used to perform various procedures, but its use in removing exostoses has not been described in the literature.

Conclusion

Excision of exostoses of the ear canal using a piezo saw is a safe technique and patients have a speedy recovery. This paper describes a new technique for removing exostoses.

Keywords

ExostosesTreatmentComplicationsPiezo-Electric Surgery
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 9 , September 2018 , pp. 840 - 841
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr P M Puttasiddaiah takes responsibility for the integrity of the content of the paper

References

1DiBartolomeo, JR. Exostoses of the external auditory canal. Ann Otol Rhinol Laryngol 1979;88:2–20Google Scholar
2Wong, BJ, Cervantes, W, Doyle, KJ, Karamzadeh, AM, Boys, P, Brauel, G et al. Prevalence of external auditory canal exostoses in surfers. Arch Otolaryngol Head Neck Surg 1999;125:969–72Google Scholar
3Deleyiannis, FW, Cockroft, BD, Pinczower, EF. Exostoses of the external auditory canal in Oregon surfers. Am J Otolaryngol 1996;17:303–7Google Scholar
4Kroon, DF, Lawson, ML, Derkay, CS, Hoffmann, K, McCook, J. Surfer's ear: external auditory canal exostoses are more prevalent in cold water surfers. Otolaryngol Head Neck Surg 2002;126:499–504Google Scholar
5Chaplin, JM, Stewart, IA. The prevalence of exostoses in the external auditory meatus of surfers. Clin Otolaryngol Allied Sci 1998;23:326–30Google Scholar
6Nakanishi, H, Tono, T, Kawano, H. Incidence of external auditory canal exostoses in competitive surfers in Japan. Otolaryngol Head Neck Surg 2011;145:80–5Google Scholar
7Barrett, G, Ronan, N, Cowan, E, Flanagan, P. To drill or to chisel? A long-term follow up study of 92 exostectomy procedures in the UK. Laryngosocpe 2015;125:453–6Google Scholar
8Stougaard, MJ, Tos, M. Therapeutic results of surgery for exostoses of the ear canal [in Danish]. Ugeskr Laeger 1998;160:6961–4Google Scholar
9Frese, KA, Rudert, H, Maune, S. Surgical treatment of auditory canal exostoses [in German]. Laryngorhinootologie 1999;78:538–43Google Scholar
10Timofeev, I, Notkina, N, Smith, IM. Exostoses of the external auditory canal: a long-term follow-up study of surgical treatment. Clin Otolaryngol Allied Sci 2004;29:588–94Google Scholar
11Labanca, M, Azzola, F, Vinci, R, Rodella, LF. Piezoelectric surgery: twenty years of use. Br J Oral Maxillofac Surg 2008;46:265–9Google Scholar
12Salami, A, Dellepiane, M, Proto, E, Mora, R. Piezosurgery in otologic surgery: four years of experience. Otolaryngol Head Neck Surg 2009;140:412–18Google Scholar
13Salami, A, Mora, R, Dellepiane, M, Guastini, L. Piezosurgery for removal of symptomatic ear osteoma. Eur Arch Otorhinolaryngol 2010;267:1527–30Google Scholar