Öz
Idiopathic inflammatory medial meatal fibrosis (IIMMF) is a rare condition that should be kept in mind in patients with hearing loss, frequent otorrhea and stenosis of the external auditory canal. A 65-year-old female patient was admitted to our clinic with complaints of recur- rent discharge in the left ear for 15 years. Otoscopic examination revealed that the skin of the left external auditory canal was thickened medially, the lumen diameter was decreased and the thickness of the tympanic membrane was increased. Temporal bone computed tomography (CT) showed thickened skin and membranes medially in the left external auditory canal. Surgical treatment was recommended with no improvement in clinical findings and patient complaints with medical treatment. Onlay tympanoplasty was performed. Postoperative follow-up revealed that the outer ear canal skin was epithelialized normally and the tympanic membrane thickness was normal. In this article, a case of IIMMF is presented with the clinical findings, diagnosis and surgical treatment process in the light of current literature.
Anahtar Kelimeler
Kaynakça
- 1. Suzukawa K, Karino S, Yamasoba T. Surgical treatment of medial meatal fibrosis. Report of four cases. Auris Nasus Larynx. 2007;34(3):365-8.
- 2. Ghani A, Smith MC. Postinflammatory medial meatal fibrosis: early and late surgical out- comes. J Laryngol Otol. 2013;127(12):1160–8.
- 3. Magliulo G, Ronzoni R, Cristofari P. Medial meatal fibrosis: current approach. J Laryngol Otol. 1996;110(5):417–20.
- 4. Keller RG, Ong AA, Nguyen SA, O’Connell BP, Lambert PR. Postinflammatory medial canal fibrosis: an institutional review and meta analysis of short- and longterm outcomes. Laryngoscope. 2017;127(2):488-95.
- 5. Magliulo G. Acquired atresia of the external auditory canal: recurrence and longterm re- sults. Ann Otol Rhino Laryngol. 2009;118(5):345–9.
- 6. Hopsu E, Pitkaranta A. Idiopathic inflammatory medial meatal fibrotizing otitis. Arch Oto- laryngol Head Neck Surg. 2002;128(11):1313–6.
- 7. Dhooge I, D’Hoop M, Loose D, Acke F. Acquired atresia of the external auditory canal: longterm clinical and audiometric results after surgery. Otol Neurotol. 2014; 35(7):1196–200.
- 8. Lavy J, Fagan P. Chronic stenosing external otitis postinflammatory acquired atresia: a re- view. Clin Otolaryngol. 2000;25(6):435–9.
- 9. Hopsu E, Pitkäranta A. Idiopathic inflammatory medial meatal fibrotizing otitis presenting in children. Otol Neurotol. 2008;29(3):350-2.
- 10. El-Sayed Y. Acquired medial canal fibrosis. J Laryngol Otol. 1998;112(2):145–9.
- 11. Lin VY, Chee GH, David EA, Chen JM. Medial canal fibrosis: surgical technique, results, and a proposed grading system. Otol Neurotol. 2005;26(5):825-9.
Öz
İdiyopatik inflamatuar medial meatal fibrozis (İİMMF) işitme azlığı, sık otore ile başvuran, dış kulak yolunda stenoz görülen hastalarda aklımıza gelmesi gereken nadir bir hastalıktır. 65 yaşındaki kadın hasta 15 yıldır sol kulakta işitme azlığı ve tekrarlayan akıntı şikayetiyle başvurdu. Otoskopik bakıda sol dış kulak yolu cildi mediale doğru kalınlaşmış, lümen çapı azalmış, timpan zar kalınlığı artmıştı. Temporal kemik Bilgisayarlı Tomografisinde (BT) sol dış kulak yolu medialinde kalınlaşmış cilt ve timpan zar izleniyordu. Medikal tedavi ile klinik bulgu ve hasta yakınmasında düzelme olmaması üzere cerrahi önerildi. Onlay timpanoplasti uygulandı. Postoperatif takiplerde dış kulak yolu cildinin normal epitelize olduğu ve timpan zarın normal kalınlıkta olduğu görüldü. Bu makalede İİMMF olgusu klinik bulgular, tanı ve cerrahi tedavi süreci ile birlikte güncel literatür eşliğinde sunulmuştur.
Anahtar Kelimeler
Kaynakça
- 1. Suzukawa K, Karino S, Yamasoba T. Surgical treatment of medial meatal fibrosis. Report of four cases. Auris Nasus Larynx. 2007;34(3):365-8.
- 2. Ghani A, Smith MC. Postinflammatory medial meatal fibrosis: early and late surgical out- comes. J Laryngol Otol. 2013;127(12):1160–8.
- 3. Magliulo G, Ronzoni R, Cristofari P. Medial meatal fibrosis: current approach. J Laryngol Otol. 1996;110(5):417–20.
- 4. Keller RG, Ong AA, Nguyen SA, O’Connell BP, Lambert PR. Postinflammatory medial canal fibrosis: an institutional review and meta analysis of short- and longterm outcomes. Laryngoscope. 2017;127(2):488-95.
- 5. Magliulo G. Acquired atresia of the external auditory canal: recurrence and longterm re- sults. Ann Otol Rhino Laryngol. 2009;118(5):345–9.
- 6. Hopsu E, Pitkaranta A. Idiopathic inflammatory medial meatal fibrotizing otitis. Arch Oto- laryngol Head Neck Surg. 2002;128(11):1313–6.
- 7. Dhooge I, D’Hoop M, Loose D, Acke F. Acquired atresia of the external auditory canal: longterm clinical and audiometric results after surgery. Otol Neurotol. 2014; 35(7):1196–200.
- 8. Lavy J, Fagan P. Chronic stenosing external otitis postinflammatory acquired atresia: a re- view. Clin Otolaryngol. 2000;25(6):435–9.
- 9. Hopsu E, Pitkäranta A. Idiopathic inflammatory medial meatal fibrotizing otitis presenting in children. Otol Neurotol. 2008;29(3):350-2.
- 10. El-Sayed Y. Acquired medial canal fibrosis. J Laryngol Otol. 1998;112(2):145–9.
- 11. Lin VY, Chee GH, David EA, Chen JM. Medial canal fibrosis: surgical technique, results, and a proposed grading system. Otol Neurotol. 2005;26(5):825-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Cerrahi |
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Aralık 2020 |
| Gönderilme Tarihi | 23 Ağustos 2019 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 7 Sayı: 3 |
