A Novel Topical Treatment for Keratosis Obturans

Objective:To present and evaluate the treatment of keratosis obturans (KO) using miconazole/triamcinolone 0.1% crème gauzes.Study Design:A retrospective clinical capsule report.Patients:Twelve patients diagnosed with KO between January 2000 and July 2020 visiting our tertiary hospital setting, were retrospectively reviewed.Interventions:Either miconazole/triamcinolone 0.1% crème gauzes or periodic microscopic removal of the keratin plug.Main Outcome Measures:No evidence of disease during microscopic inspection of the ear canal.Results:Successful treatment with miconazole/triamcinolone 0.1% gauzes was seen in 4/7 patients (57%) and successful treatment of periodic cleaning of the ear canal was seen in 1/5 patients (20%).Conclusions:Topical treatment of KO with miconazole/triamcinolone 0.1% crème gauzes in the ear canal could be considered as a treatment option for patients diagnosed with KO.