Exostosis of external canal
ICD-10 H61.81 is a billable code used to indicate a diagnosis of exostosis of external canal.
Exostosis of the external auditory canal, commonly referred to as surfer's ear, is characterized by the formation of bony growths in the ear canal. These growths are typically bilateral and can lead to narrowing of the canal, resulting in symptoms such as hearing loss, recurrent ear infections, and discomfort. The condition is often associated with prolonged exposure to cold water and wind, which stimulates bone growth. Patients may present with conductive hearing loss due to obstruction, otorrhea, or a sensation of fullness in the ear. Diagnosis is primarily clinical, supported by otoscopic examination revealing bony protrusions. In some cases, imaging studies may be warranted to assess the extent of the exostosis and rule out other pathologies. Management may include monitoring for asymptomatic cases, while symptomatic patients may require surgical intervention to remove the exostosis and restore normal ear canal function. Post-operative care is crucial to prevent complications such as infection or recurrence.
Detailed history of symptoms, physical examination findings, and imaging results if applicable.
Patients presenting with hearing loss, recurrent otitis externa, or discomfort in the ear canal.
Ensure clear documentation of the extent of exostosis and any surgical interventions performed.
Audiometric evaluations and reports detailing the impact of exostosis on hearing.
Patients undergoing hearing assessments due to suspected conductive hearing loss.
Document the relationship between exostosis and hearing impairment clearly.
Used when surgical intervention is performed to remove exostosis.
Document the extent of the exostosis and the surgical approach used.
Otolaryngologists should ensure clear documentation of indications for surgery.
Common symptoms include hearing loss, a sensation of fullness in the ear, and recurrent ear infections. Patients may also experience discomfort or pain in the ear canal.
Diagnosis is primarily clinical, based on otoscopic examination revealing bony growths in the ear canal. Imaging may be used to assess the extent of the condition.
Treatment options range from observation in asymptomatic cases to surgical removal of the exostosis in symptomatic patients.
