Bilateral conductive deafness related to erosive lichen planus

Abstract

A case of bilateral progressive stenosis of both external auditory canals with resultant conductive hearing loss is presented. The stenosis revealed multifocal erosive and synechiant lichen planus. To our knowledge, this is the first reported case of lichen planus involvement of the external ear.

A 10-Year Review of Otic Lichen Planus

“…To our knowledge, our cohort represents the largest series on otic LP in the English-language medical literature. Similar to the findings of Martin et al, 5 hearing loss was the most common symptom, affecting 15 patients (79%). In addition, painless otorrhea, likely attributable to continuous inflammation of the external canal, was the presenting concern as frequently as hearing loss.…”

The vulvovaginal gingival syndrome: A severe subgroup of lichen planus with characteristic clinical features and a novel association with the class II HLA DQB1∗0201 allele

“…In both patients strictures were noted and the changes were attributed to LP as previously reported. 16 Significant intraoral scarring was present in 7 patients, mainly involving the buccal mucosa resulting in limitation of the oral aperture, but also seen on the tongue in one patient. This contrasts with the previously published literature.…”

Idiopathic, inflammatory, medial meatal, fibrotising otitis presenting with lichen planus

“…2 However, none of the patients in that earlier report developed lichen planus. 6 . 2 This may also be the situation with postinflammatory atresia of unknown aetiology.…”