The Journal of International Advanced Otology
Case Report

A Composite Foley Catheter Stent Used to Successfully Manage Recurrent Canal Stenosis Caused by Fibrous Dysplasia of the Temporal Bone

1.

Department of Otolaryngology-Head and Neck Surgery ,Tri-Service General Hospital, National Defense Medical Center, Taiwan, Republic of China

2.

Graduate Institute of Medical Sciences, National Defense Medical Center, Taiwan, Republic of China

J Int Adv Otol 2014; 10: 194-196
DOI: 10.5152/iao.2014.89
Read: 3 Published: 03 September 2019

Abstract

External auditory canal (EAC) stenosis is commonly seen in patients with fibrous dysplasia of the temporal bone. Postoperative canal restenosis is more likely to be encountered after initial surgical management. We present a case of monostotic fibrous dysplasia of the temporal bone with EAC invasion in a 37-year-old man who presented with recurrent canal stenosis and resultant conductive hearing loss after several rounds of revision surgery. The technique of using a composite Foley catheter as a stent gave promising results in terms of improving the canal’s patency and closing the preoperative air-bone gap in the hearing threshold after 18 months of follow-up. This suggests that long-term stent use with a Foley catheter offers a treatment of choice to prevent such troublesome canal restenosis. 

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ISSN1308-7649 EISSN 2148-3817