The symptomatic bilaterally occlusive surfer’s air (exostosis of the external auditory canal)

Year 2020, Volume: 3 Issue: 3, 355 - 357, 18.06.2020

Emrah Doğan Mustafa Kule Bünyamin Güney İlknur Altun Turhan Togan

https://doi.org/10.32322/jhsm.710022

Abstract

Surfer’s ear is a disease characterized by a benign exostosis of the external ear canal. It is recognized by an otoscopic evaluation and manifests itself with one or several outgrowth lesions in the external ear canal. Although the characteristics of the disease are not known exactly, it is assumed that it may be due to the long-term exposure to cold water. Our case is about a 39 years old man admitted to the hospital with a difficulty in unilateral hearing. The complaints persisted for two months. Temporal computed tomography revealed narrowing of 40% on the left and 70% on the right. Other radiological findings were a loss of mastoid cells and sclerosis. The patient had also hypoplasia in the ethmoid sinuses. The patient doesn’t have frequent contact with water but he was living in a windy city that is famous for paragliding.

Keywords

surfer’s air, bilaterally maxillary hypoplasia, paranasal sinuses computed tomography

Thanks

Dear Editor, We tried to introduce and discuss our case in as much details as we could. Our patient presented a rare desease with atypical features. It was particularly remarkable because the classical theory of sea water didn’t explain the physiopathology in our patient therefore we considered other etiological factors, in addition to this, our case was not isolated but associated to ethmoid hypoplasia. We sincerely hope that our case report ‘The Symptomatic Bilaterally Occlusive Surfer’s Air (Exostosis of The External Auditory Canal)’ will be published in your precious journal. Best regards! Ass. Pr. Dr. Emrah Dogan

Bilateral semptomatik oklüzif sörfçü kulağı (eksternal kulak kanalı ekzositozu)

Abstract

Sörfçü kulağı eksternal kulak yolunun benign ekzostozu ile karakterize bir hastalıktır. Otoskopik değerlendirme ile tanınır ve dış kulak kanalında bir veya daha fazla ekzostotik lezyon ile kendini gösterir. Hastalığın özellikleri tam olarak bilinmemekle birlikte, uzun süreli soğuk suya maruziyet ana predispozan faktör olarak varsayılmaktadır. Olgumuz, tek taraflı işitme güçlüğü ile hastaneye başvuran 39 yaşında erkek hastaydı. Şikayetler iki aydır devam etmekteydi. Bilgisayarlı tomografide dış kulak yolunun solda %40, sağda %70 daraldığı saptandı. Mastoid hücre kaybı ve skleroz eşlik etmekteydi. Hastada ayrıca etmoid sinüslerde hipoplazi mevcuttu. Hastanın suyla sık teması yoktu. Ancak yamaç paraşütü ile ünlü rüzgarlı bir şehirde yaşıyordu.

Keywords

Sörfçü kulağı, maksiller hipoplazi, paranazal sinus bilgisayarlı tomografi

References

• 1. Turetsky DB, Vines FS, Clayman DA. Surfer’s ear: exostoses of the external auditory canal. AJNR Am J Neuroradiol 1990; 11: 1217-8.
• 2. DiBartolomeo JR. Exostoses of the external auditory canal. Ann Otol Rhinol Laryngol Suppl 1979; 88: 2-20.
• 3. Hirose Y, Shikino K, Ikusaka M. Surfer’s ear and external auditory canal exostoses. QJM: An Int J Med 2016; 109: 759.
• 4. Sheehy J. Osteoma of the external auditory canal. Laryngoscope 1958; 68: 1667-73.
• 5. Aich Litu M, Al mamun A, Alam Z, Haque R, Hanif A, Hossain A. Exostoses of the external auditory canal. Bangladesh J Otorhinolaryngol 2012; 18: 91-5.
• 6. Kutz JW Jr, Fayad JN. Exostosis of the external auditory canal. Ear Nose Throat J 2006; 85: 142.
• 7. Alexander V, Lau A, Beaumont E, Hope A. The effects of surfing behaviour on the development of external auditory canal exostosis. Eur Arch Otorhinolaryngol 2015; 272: 1643-9.