Idiopathic Inflammatory Medial Meatal Fibrosis: A Case Report and A Brief Literature Review

Year 2020, Volume: 7 Issue: 3, 166 - 169, 29.12.2020

Gamze Öztürk , Erdem Atalay Çetinkaya Ömer Tarık Selçuk Gökhan Yılmaz Özer Erdem Gür

https://doi.org/10.47572/muskutd.610110

Abstract

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.

Keywords

Inflammation, Medial Meatal Fibrosis, Idiopathic

İdiyopatik İnflamatuar Medial Meatal Fibrozis: Olgu Sunumu Ve Kısa Literatür Derlemesi

Abstract

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.

Keywords

İnflamasyon, Medial Meatal Fibrozis, İdiyopatik

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