{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:49:00Z","timestamp":1786978140456,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Acquired external auditory canal (EAC) stenosis or atresia is commonly associated with chronic inflammation and postsurgical changes, whereas cases resulting from trauma are understudied. Previous reports have included heterogeneous cases, limiting prognostic clarity. We investigated audiometric and surgical outcomes in a homogeneous cohort of patients with post\u2010traumatic EAC stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed patients treated for posttraumatic EAC stenosis at a tertiary referral center between March 2012 and April 2025. All patients underwent modified meatocanaloplasty with full\u2010thickness skin graft (FTSG) reconstruction using an endaural approach. To contextualize our findings, we reviewed studies of acquired EAC stenosis or atresia that reported extractable pre\u2010 and postoperative audiometric outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nineteen patients (19 ears; mean age: 34.6\u2009years) were included. The mean interval from trauma to surgery was 31.7\u2009months, and the mean clinical follow\u2010up period was 27.9\u2009months. The mean air\u2010conduction pure\u2010tone average improved from 50.0 to 26.4\u2009dB HL (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and the mean air\u2010bone gap decreased from 31.6 to 7.3\u2009dB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Postoperative air\u2010bone gap closure \u2264\u200920\u2009dB was achieved in 17 patients (89.5%), and closure \u2264\u200910\u2009dB in 14 (73.7%). No patient required revision for restenosis during follow\u2010up. Among the studies included in the literature review, traumatic cases were uncommon. Postoperative hearing outcomes in our cohort compared favorably with previously published ranges.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this posttraumatic EAC stenosis cohort, modified meatocanaloplasty with FTSG reconstruction via an endaural approach was associated with maintained canal patency and clinically meaningful hearing improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70836","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T10:00:11Z","timestamp":1786960811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hearing Outcomes After Surgical Repair for Posttraumatic External Auditory Canal Stenosis"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5145-0743","authenticated-orcid":false,"given":"Ting\u2010Chia","family":"Young","sequence":"first","affiliation":[{"name":"Department of Medical Education Chang Gung Memorial Hospital  Linkou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-4009","authenticated-orcid":false,"given":"Shih\u2010Lung","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of Otology, Department of Otolaryngology\u2014Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"School of Medicine Chang Gung University  Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1421-0538","authenticated-orcid":false,"given":"Wan\u2010Ling","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, College of Medicine Taipei Medical University  Taipei Taiwan"},{"name":"Department of Pediatrics Taipei Medical University Hospital  Taipei Taiwan"},{"name":"Pediatric Brain Tumor Program, Taipei Cancer Center, Taipei Neurological Institute Taipei Medical University  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1372-0229","authenticated-orcid":false,"given":"Kai\u2010Chieh","family":"Chan","sequence":"additional","affiliation":[{"name":"Division of Otology, Department of Otolaryngology\u2014Head and Neck Surgery Chang Gung Memorial Hospital  Linkou Taiwan"},{"name":"School of Medicine Chang Gung University  Taoyuan City Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537\u2010199806000\u201000021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000172821.04946.30"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.22038\/ijorl.2025.87421.3932"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215112001703"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215106000272"},{"issue":"2","key":"e_1_2_9_7_1","first-page":"123","article-title":"Surgical Treatment of Acquired External Auditory Canal Atresia","volume":"19","author":"Selesnick S.","year":"1998","journal-title":"American Journal of Otology"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2021.11.004"},{"issue":"1","key":"e_1_2_9_9_1","first-page":"80","article-title":"Traumatic External Auditory Canal Atresia","volume":"13","author":"McKennan K. 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