Georgie had a lateral wall resection (LWR) for recurrent otitis externa, external ear infection. The aim of this surgery is to increase the ventilation to the depths of the ear canal and make the environment less atrtractive to the bacterial pathogens that can otherwise colonise it.
Unfortunately in some of these cases, even if the LWR looks as nice and neat as desired, the underlying skin disease of the depths of the external ear canal and the middle ear can progress and require further action.
In this case, we performed a total ear canal ablation and lateral bulla osteotmy, removing the external ear canal (not the ear flap itself though) and part of the middle ear.
10th October 2018