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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: erkki.hopsu@kymshp.fi
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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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