Lichen planopilaris of the external auditory canal-a case report with a review of literature

Abstract

Gergi Kukushev, Valentina Broshtilova

A 73-year-old female with citactricial alopecia of the fronto-parietal zone of the scalp due to a pro-longed history of lichen plano-pilaris presented with a progressive hearing loss and obstruction of the left auditory canal as well as ring stenosis and mild purulent discharge of the right auditory canal. Histopatologically, the ear involvement was verified in the lichen planus inflammatory spectrum. Complete medial external auditory canal skin elevation of the left ear and excision of the ring stenosis on the right side were performed in association with appropriate systemic immunomodulating therapy. The therapeutic surgical and pathogenetic modalities are reviewed to highlight the possible management of this extremely rare lichen planus complication.

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