A Novel Topical Treatment for Keratosis Obturans

Abstract

Objective: To present and evaluate the treatment of keratosis obturans (KO) using miconazole/triamcinolone 0.1% cre `me gauzes. Study Design: A retrospective clinical capsule report. Patients: Twelve patients diagnosed with KO between January 2000 and July 2020 visiting our tertiary hospital setting, were retrospectively reviewed. Interventions: Either miconazole/triamcinolone 0.1% cre `me gauzes or periodic microscopic removal of the keratin plug. Main Outcome Measures: No evidence of disease during microscopic inspection of the ear canal.Results: Successful treatment with miconazole/triamcinolone 0.1% gauzes was seen in 4/7 patients (57%) and successful treatment of periodic cleaning of the ear canal was seen in 1/5 patients (20%). Conclusions: Topical treatment of KO with miconazole/ triamcinolone 0.1% cre `me gauzes in the ear canal could be considered as a treatment option for patients diagnosed with KO.