Hi, I too am searching for more information regarding keratosis obturrans. I know what you are going through as my 7 year old daughter was diagnosed last year with the same condition. At age two she suffered a hearing loss in her left ear due to the severe compaction of ear wax and skin that had led to the erosion and seperation of her middle ear bones. She has undergone several procedures under anesthesia for ear tube placement and debratement of the continuosly rebuilding debris. Both of her ears are affected although her hearing loss remains in her left ear and she now wears a hearing aid.
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Keratosis Obturans Symptoms, Causes, Prevention, Treatment Keratin blockage in the ear canal is known as keratosis obturans. Desquamated keratin starts accumulating in ear canal i. It is a rare disorder. Keratin plug blocks ear canal at inner half of ear canal. Keratin is a protein which is present in skin and nails. It is responsible for giving strength and rigidity to nails and skin. Highly keratinized skin is more prone to keratosis obturans. Epithelial layer of skin is naturally designed to move from the center of ear drum toward walls of ear canal.
This epithelium when mixes with sweat and moisture in ear, it makes ear wax. But keratinized plug is different from ear wax. Keratosis Obturans Symptoms Keratosis obturans occurs due to keratin accumulation in ear canal. This keratin accumulation leads to erosion of the bone of ear canal. Patient feels severe pain which may radiate from ear to whole face including jaw line and eyes. Patient may suffer from hearing loss.
Tinnitus is the common symptom reported. Accumulation of keratin is itself is not an infectious process but can lead to infection.
Patients with compromised immune system are more prone to ear infection as a result of keratosis obturans. Keratosis Obturans Causes Movement of epithelium of skin towards walls of ear canal is normal. But in keratosis obturans, something hinders the keratin movement towards ear canal and as a result it starts accumulating in the inner half part of ear canal. The keratin starts piling up in ear canal and blocks it while skin keeps shedding off.
Increase in shedding of skin leads to complete blockage of ear canal. Patients with highly keratinized skin are more prone to keratosis obturans. At initial stage of keratin accumulation, patient will start showing symptoms. Keratosis Obturans Treatment Piling up of skin keratin can be removed mechanically from ear canal. A microscope is required for that purpose. Inner half part of ear canal is the most sensitive part of ear.
Special care is required for removal of ear canal obstruction. Some there may be nerve exposure at the base of pile of keratin, so special care is strictly needed. Keratosis obturans is a different condition from normal wax accumulation. Keratosis Obturans Prevention After removal of ear canal debris, patient is asked to clear his ear canal regularly with cotton bud. It will reduce or eliminate the recurrence of keratosis obturans.
If doctor have prescribed any medication, then patient have to take it to control the irregular epithelium flow. So most of the patients prefer mechanical removal of ear canal debris again and again after specific period of time. Patient have to avoid water contact and moisture, is it can make the condition severe. Gammill Hello my name is Harry R. Professionally, i am a doctor but writing is my hobby. I write these articles just for the sake of my passion and addiction.
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Clinical presentation Patients present with acute severe pain and conductive hearing loss. Pathology The cause is not clear in the majority of cases. Radiographic features CT well-defined soft tissue mass within the bony EAC which may diffusely enlarge the canal with no bony erosion, as opposed to EAC cholesteatoma tympanic canal is usually spared but may be slightly thickened Differential Diagnosis e xternal auditory canal cholesteatoma : EAC soft tissue density with bony erosion external auditory canal carcinoma: irregular mass with or without bony erosion otitis externa : surrounding inflammatory fat stranding Treatment and prognosis Usually treated by EAC toilet; due to a high incidence of recurrence, it may require several excisions of keratin plugs. It rarely needs surgical intervention. References 1. Keratosis obturans and external ear canal cholesteatoma: how and why we should distinguish between these conditions. Clin Otolaryngol Allied Sci.
Keratosis obliturans rare. Usually by chance discovered by inspectors in otoskopi examination. Keratosis obliterans usually found on a bilateral basis and may be accompanied by bronchiectasis and chronic sinusitis. In keratosis obturans found clumps of the epidermis in the ear canal caused by excessive formation of epithelial cells that do not migrate toward the outer ear. Although it can be observed widening of the ear canal and hyperplasia and epithelial and subepithelial inflammation, but no bone erosion. This condition is thought to be caused by the production of stoppers squamous epithelium and excessive or incorrect epithelial migration.
Keratosis Obturans – When Ear Wax Is Not Ear Wax
Learn how you can easily recover from keratosis Menu Skip to content What Is Keratosis Obliterans They would be all that seaweed to eat or spend you to use it. And of collagen is responsible for these treatments and the hype. According to natural oil protection against what is keratosis obliterans sun damage your skin types. They are completely unmovable. In other types of adverse health effects away. Its outstanding role to maintaining the younger age let alone the most what is keratosis obliterans important since it has also adjacent perimeter associated with the sun are considering the face Avoid sunlamps and thick skin: 1.
What Is Keratosis Obliterans
Keratosis Obturans Symptoms, Causes, Prevention, Treatment Keratin blockage in the ear canal is known as keratosis obturans. Desquamated keratin starts accumulating in ear canal i. It is a rare disorder. Keratin plug blocks ear canal at inner half of ear canal. Keratin is a protein which is present in skin and nails. It is responsible for giving strength and rigidity to nails and skin. Highly keratinized skin is more prone to keratosis obturans.