title: CASE REPORT Treatment of Otophyma: Case Report and Review of the Literature.
abstract: OBJECTIVE
  Otophyma is a rare condition that can present as the end stage of any chronic inflammatory disease affecting the ear such as rosacea, eczema, or otitis externa. It can result in conductive hearing loss, low self-esteem, and social embarrassment. This report highlights a case of otophyma treated successfully using a full-thickness skin graft.
  
  
  METHODS
  We present a case of a 41-year-old lady referred to our department with a 23-year history of bilateral otophyma. During this time, her hearing progressively diminished as the swelling occluded her external auditory meatus. She had been unsuccessfully managed for years with topical emollients, steroids, and regular ear toileting.
  
  
  RESULTS
  She was treated by excision of the phymatous tissue and full-thickness grafting, which resulted in a patent external auditory meatus and an improvement in her hearing.
  
  
  CONCLUSIONS
  The use of a full-thickness skin graft is one of the many treatment options available for the treatment of otophyma. We present a literature review on this uncommon condition and a discussion on the various treatment options available to the patient.
authors: Department of Plastic and Reconstructive Surgery, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
authors: K S
authors: KS
authors: Sharma
authors: J
authors: J
authors: Pollock
authors: S
authors: S
authors: Hasham
authors: T M
authors: TM
authors: Brotherston
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