{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T11:54:30Z","timestamp":1772452470392,"version":"3.50.1"},"reference-count":10,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125103836_sec1a\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>External auditory exostosis (surfer\u2019s ear) is a progressive condition of benign hyperostotic overgrowths of the external auditory canal, secondary to repetitive cold-water exposure, in which symptoms correlate to degree of exostosis. Surgical intervention is the only available treatment, most commonly using the osteotome or microdrill, but these carry a risk of sensorineural hearing loss, post-operative stenosis, temporomandibular dysfunction and tympanic membrane perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103836_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We describe in detail the Swansea technique, an innovative method of canaloplasty with endoscopic underwater excision of exostoses using a piezoelectric saw and continuous irrigation with 1:1,000,000 adrenaline, with the results from our first 34 procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103836_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The inherent properties of the piezoelectric saw reduce the risk of overall complications when compared with traditional methods, whilst the surgical set-up is cost-equivocal and easily implemented in departments with endoscopic capabilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125103836_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The piezoelectric saw is a promising novel technique for the treatment of external auditory exostosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125103836","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T12:56:32Z","timestamp":1762347392000},"page":"221-224","source":"Crossref","is-referenced-by-count":0,"title":["The Swansea Technique: a novel method of endoscopic underwater excision of external auditory canal exostoses using a piezoelectric saw"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3478-6676","authenticated-orcid":false,"given":"Victoria","family":"Evans","sequence":"first","affiliation":[{"name":"Swansea Bay University Health Board"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Heyman","sequence":"additional","affiliation":[{"name":"Cwm Taf Morgannwg University Health Board"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ameeth","family":"Sanu","sequence":"additional","affiliation":[{"name":"Swansea Bay University Health Board"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"S0022215125103836_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.125.9.969"},{"key":"S0022215125103836_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000004181"},{"key":"S0022215125103836_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790260024008"},{"key":"S0022215125103836_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103114"},{"key":"S0022215125103836_ref3","first-page":"187","article-title":"The relationship of osteomata of the external auditory meatus to swimming","volume":"31","author":"Harrison","year":"1962","journal-title":"Ann R Coll Surg Engl"},{"key":"S0022215125103836_ref8","doi-asserted-by":"publisher","DOI":"10.21037\/hbsn-22-509"},{"key":"S0022215125103836_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.334"},{"key":"S0022215125103836_ref1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115000316"},{"key":"S0022215125103836_ref10","doi-asserted-by":"publisher","DOI":"10.1177\/00034894221147804"},{"key":"S0022215125103836_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08258-5"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125103836","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T10:57:28Z","timestamp":1772449048000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125103836\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S0022215125103836"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125103836","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,5]]}}}