Acquired stenosis of right external ear canal secondary to trauma
ICD-10 H61.311 is a billable code used to indicate a diagnosis of acquired stenosis of right external ear canal secondary to trauma.
Acquired stenosis of the external ear canal refers to a narrowing of the ear canal that occurs due to external factors, such as trauma. This condition can result from various types of injuries, including lacerations, blunt force trauma, or thermal injuries. The right external ear canal is specifically affected in this code, indicating a unilateral condition. Clinically, patients may present with symptoms such as hearing loss, ear pain, or a sensation of fullness in the ear. Diagnosis typically involves a thorough otoscopic examination, which may reveal narrowing of the canal, inflammation, or scarring. Imaging studies, such as CT scans, may be utilized in complex cases to assess the extent of the stenosis and any associated injuries. Management often includes conservative measures like ear canal dilation or surgical interventions, such as canaloplasty or tympanoplasty, depending on the severity of the stenosis and the underlying cause. Follow-up care is essential to monitor for complications, including recurrent stenosis or infection.
Detailed history of trauma, physical examination findings, and treatment plan.
Patients presenting with ear pain and hearing loss following trauma.
Ensure clear documentation of the trauma type and any surgical interventions performed.
Audiometric evaluations and reports on hearing loss related to ear canal stenosis.
Patients undergoing hearing assessments post-trauma.
Document the impact of stenosis on auditory function and any rehabilitative measures taken.
Performed to correct acquired stenosis of the ear canal.
Surgical notes detailing the procedure and indications.
Otolaryngology specialists should ensure accurate coding of the procedure in relation to the diagnosis.
H61.311 is primarily caused by trauma to the ear canal, which can lead to scarring and narrowing of the canal.
Diagnosis is made through clinical examination, typically using otoscopy, and may be supported by audiometric testing to assess hearing loss.
Treatment options include conservative measures like ear canal dilation and surgical interventions such as canaloplasty, depending on the severity of the stenosis.
