Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.34631/sporl.462 |
Resumo: | Introduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present. |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externaPapiloma circunferencial do canal auditivo externo bilateral como otite externa crónica - Caso clínicocutaneous papillomaexternal ear canalexternal otitisimiquimodpapiloma cutâneocanal auditivo externootite externaimiquimodIntroduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present. Introdução: Apresentamos um caso de papiloma circunferencial do canal auditivo externo diagnosticado erradamente e tratado sem sucesso como otite externa crónica 15 anos. O interesse deste caso é a invulgaridade e extensão da localização da lesão, apresentando uma intervenção terapêutica aparentemente eficaz e sem sequelas. Material e métodos: A nossa observação revelou lesão exofítica circunferencial exsudativa do canal e tímpano, bilateralmente, sugestiva de papiloma, que foi biopsado, confirmando a hipótese. Dada a extensão e localização da lesão e o compromisso anatómico que impediam a exérese, foi instituída terapêutica experimental com imiquimod tópico. Resultados: Observou-se melhoria significativa e rápida das lesões, com resolução integral em ambos os lados ao fim de 3 meses de aplicação, mantendo-se bem cerca de um ano depois. Conclusões: O imiquimod é uma alternativa eficaz para o tratamento conservador em caso de lesões agressivas ou de localização complicada, tendo sido material neste caso para o sucesso terapêutico. Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2014-06-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.462https://doi.org/10.34631/sporl.462Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 95-97Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 95-97Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 95-972184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2691https://journalsporl.com/index.php/sporl/article/view/2691/695Subtil, JoãoMontalvão, PedroSaraiva, Joséinfo:eu-repo/semantics/openAccess2024-06-06T12:59:48Zoai:journalsporl.com:article/2691Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:59:48Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa Papiloma circunferencial do canal auditivo externo bilateral como otite externa crónica - Caso clínico |
title |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
spellingShingle |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa Subtil, João cutaneous papilloma external ear canal external otitis imiquimod papiloma cutâneo canal auditivo externo otite externa imiquimod |
title_short |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
title_full |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
title_fullStr |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
title_full_unstemmed |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
title_sort |
Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa |
author |
Subtil, João |
author_facet |
Subtil, João Montalvão, Pedro Saraiva, José |
author_role |
author |
author2 |
Montalvão, Pedro Saraiva, José |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Subtil, João Montalvão, Pedro Saraiva, José |
dc.subject.por.fl_str_mv |
cutaneous papilloma external ear canal external otitis imiquimod papiloma cutâneo canal auditivo externo otite externa imiquimod |
topic |
cutaneous papilloma external ear canal external otitis imiquimod papiloma cutâneo canal auditivo externo otite externa imiquimod |
description |
Introduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present. |
publishDate |
2014 |
dc.date.none.fl_str_mv |
2014-06-18 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.34631/sporl.462 https://doi.org/10.34631/sporl.462 |
url |
https://doi.org/10.34631/sporl.462 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://journalsporl.com/index.php/sporl/article/view/2691 https://journalsporl.com/index.php/sporl/article/view/2691/695 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço |
dc.source.none.fl_str_mv |
Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 95-97 Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 95-97 Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 95-97 2184-6499 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
mluisa.alvim@gmail.com |
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1817546031115534336 |