title: Laterality of exostosis in surfers due to evaporative cooling effect.
abstract: OBJECTIVE
  1. To correlate exostosis severity with ear canal evaporative cooling. 2. To assess hearing and complications after canalplasty.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  A retrospective chart review from 1990 to 2007 at a university tertiary referral center.
  
  
  RESULTS
  Surfers from the west coast of the United States were twice as likely to have severe exostoses in the right ear compared with the left. Evaporative cooling from a predominant northerly wind direction during the coldest water temperature months in this region may contribute to this lateral bias because surfers on this coast spend most of their time facing west. Few postoperative complications were identified. No cases of facial nerve injury or entry into the temporomandibular joint occurred. Differences in preoperative versus postoperative pure-tone hearing thresholds were not significant.
  
  
  CONCLUSIONS
  Exostosis severity seems to correspond to the ear that is more exposed to the predominant coastal wind. We propose that evaporative cooling in a cold water environment contributes to greater progression of exostoses in the ear with more exposure to the predominant wind. Exostosis removal using the postauricular approach carries a low complication rate.
authors.affiliation: Division of Otolaryngology-Head and Neck Surgery, University of California San Diego, La Jolla, California 92103, USA.
authors.forename: John F
authors.initials: JF
authors.lastname: King
authors.forename: Austin C
authors.initials: AC
authors.lastname: Kinney
authors.forename: Sam F
authors.initials: SF
authors.lastname: Iacobellis
authors.forename: Thomas H
authors.initials: TH
authors.lastname: Alexander
authors.forename: Jeffrey P
authors.initials: JP
authors.lastname: Harris
authors.forename: Peter
authors.initials: P
authors.lastname: Torre
authors.forename: Joni K
authors.initials: JK
authors.lastname: Doherty
authors.forename: Quyen T
authors.initials: QT
authors.lastname: Nguyen
mesh_terms: D000328:Adult; D000368:Aged; D001301:Audiometry, Pure-Tone; D002140:California; D003080:Cold Temperature / Q000009:adverse effects*; D004424:Ear Canal / Q000601:surgery; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015831:Osteochondroma / Q000209:etiology* / Q000601:surgery; D013506:Otologic Surgical Procedures; D010140:Pacific Ocean; D012189:Retrospective Studies; D013177:Sports; D013696:Temperature; D016896:Treatment Outcome; D014919:Wind; D055815:Young Adult