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May 1966

Surgery for Chronic, Refractory Otitis Externa

Author Affiliations

From the Department of Otorhinolaryngology of the University of Kansas School of Medicine, Kansas City, Kan.

Arch Otolaryngol. 1966;83(5):436-438. doi:10.1001/archotol.1966.00760020438006

IT IS probable that most cases of chronic otitis externa are brought to prompt resolution through careful mechanical cleansing of the external auditory canal followed by the topical application of an appropriate antibiotic or fungicidal agent. An occasional resistant infection, however, remains to plague the otolaryngologist, for ordinary office treatment only yields a temporary amelioration of symptoms, and the patient soon returns for further care. Such subjects often present with the picture of hypertrophic, redundant, irreversibly diseased skin in the external canal, and the normal protective barriers, cerumen and acid mantle, are presumably ineffective. The purpose of this paper is to present and describe a surgical method whereby the condition may be brought to a conclusion in the majority of instances.

The technique was never applied without a trial of the following conservative measures:

  1. Complete removal of all canal pus and debris by suction during observation through an otologic

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