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Tinnitus, hearing loss, examination discovered rare ear canal protrusion

Ms. NTTT (35 years old, residing in Long Hau commune, Lai Vung district, Dong Thap province) came to the hospital with symptoms of tinnitus in the left ear, hearing loss and cloudy fluid coming out of the ear canal. The doctor diagnosed her with a protrusion of the external auditory canal.

Báo Thanh niênBáo Thanh niên25/04/2025

Specialist 2 Lam The Phuong, Deputy Head of the Department of Otorhinolaryngology, Thu Duc City Hospital (HCMC), said: “Through detailed examination and CT scan of the temporal bone, we discovered a large, bone-like mass that narrowed almost the entire left external auditory canal. This condition not only affected Ms. T.’s hearing, but also posed a risk of recurrent infection due to fluid and earwax retention.”

Ù tai, nghe kém, đi khám phát hiện lồi xương ống tai hiếm gặp - Ảnh 1.

Image of a hard, narrowing lesion of the external auditory canal

PHOTO: BVCC

The bony mass was too large and had to be operated on through the back of the ear.

Accordingly, Ms. T. was diagnosed with external auditory canal protrusion - a rare disease, especially in female patients with no history of frequent exposure to cold water.

Because the size of the bony protrusion was too large, the doctors had to choose the surgical method behind the ear instead of the usual endoscopic intervention.

“The biggest challenge in this surgery is to preserve as much of the skin of the ear canal as possible to avoid complications of narrow scarring after surgery,” said Dr. Phuong.

The surgery was performed in late August 2024. Although the healing process of the ear canal skin took longer than expected, with the use of appropriate local care measures, the ear canal skin recovered completely, covering the entire external auditory canal. In particular, the eardrum was preserved intact, the patient's hearing function returned to normal and was completely recovered after 6 months of follow-up.

Ù tai, nghe kém, đi khám phát hiện lồi xương ống tai hiếm gặp - Ảnh 2.

40 days after surgery, the skin of the ear canal was completely recovered, the eardrum was intact, the patient heard well, no tinnitus, no ear pain.

PHOTO: BVCC

The incidence of ostial protrusion in the community is only about 0.63%.

According to Dr. Phuong, external auditory canal protrusion is common in men aged 30-40, especially those who are frequently exposed to cold water such as swimmers or surfers. The incidence in the community is only about 0.63%, but can be up to 73% in high-risk groups.

“People need to pay attention to protecting their ears when exposed to cold water, especially when swimming or doing underwater activities. Using rubber earplugs and swimming caps is an effective preventive measure. When there are abnormal symptoms in the ears such as itching, tinnitus, prolonged hearing loss, it is necessary to go to a medical facility for timely examination,” emphasized Dr. The Phuong.

Source: https://thanhnien.vn/u-tai-nghe-kem-di-kham-phat-hien-loi-xuong-ong-tai-hiem-gap-185250425173803794.htm


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