A Novel Topical Treatment for Keratosis Obturans.

ABSTRACT

OBJECTIVE: To present and evaluate the treatment of keratosis obturans (KO) using miconazole/triamcinolone 0.1% crème 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% crème 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% crème gauzes in the ear canal could be considered as a treatment option for patients diagnosed with KO.