Goodman W S, Middleton W C
J Otolaryngol. 1984 Jun;13(3):183-6.
Longstanding diffuse otitis externa can lead to irreversible skin changes, canal stenosis, and deafness. Although usually responsive to aggressive medical management, some cases prove refractory. Surgery consisting of a canalplasty and meatoplasty is recommended in these rare instances. The senior author's management of this disease is outlined in detail. Three refractory cases are described, of which two required and responded to surgery with satisfactory hearing and healing. The so-called "malignant external otitis" variety has been excluded from this report.
长期存在的弥漫性外耳道炎可导致不可逆的皮肤改变、外耳道狭窄和耳聋。尽管通常对积极的药物治疗有反应，但有些病例证明难以治愈。在这些罕见情况下，建议进行包括外耳道成形术和外耳道肉阜成形术的手术。本文详细概述了资深作者对该疾病的治疗方法。描述了三例难治性病例，其中两例需要手术并对手术有反应，听力和愈合情况令人满意。本报告不包括所谓的“恶性外耳道炎”类型。
