Keratosis Obturans.

Keratosis Obturans is a condition of ear canal whereby skin of ear canal erodes the bone over time. Normally skin regenerates itself completely in 21 days. Sometimes, this process may erode the bone especially when it is not able to shed itself out. 

Chronically deposited skin debris lead to blockade of ear canal, foul smell and formation of Otomycosis (fungal debris). 

Treatment is removal of these debris meticulously and regular cleaning by ENT Specialist.

Typical case where wax was very difficult to remove. After few sittings, could make out membranes around wax going deep into floor of ear canal. These membrane secretes some enzymes which dissolves bone or cause pressure necrosis. These cases requires frequent office visits. (15/09/2019)

Keratosis Obturans: Note destruction of floor of ear canal by skin debris.