An exostectomy is a surgical procedure to remove a bony growth, known as an exostosis (commonly referred to as surfer’s ear), from the body. Exostoses are benign (non-cancerous) bone outgrowths that can cause narrowing of the ear canal.
This narrowing may lead to water becoming trapped in the ear, resulting in recurrent infections, ear blockage, and hearing loss.
When these symptoms occur, an exostectomy is usually recommended to carefully drill away the bony growth and restore the ear canal to its normal shape and function.
You may be recommended for an exostectomy if you experience:
Exostoses in the ear canal are sometimes referred to as “surfer’s ear”, as they are more common in people exposed to cold water or wind.
Exostectomy is a safe and well-tolerated procedure, but as with all surgeries, there are some risks. These can vary depending on the location of the exostosis and individual factors. Potential risks include:
Dr Phillips will discuss these risks with you and explain any specific concerns related to your condition.
Not all exostoses require surgery. In mild or symptom-free cases, Dr Phillips may recommend:
Surgery is usually considered when symptoms become troublesome or persistent.
Inform Dr Phillips of all medications you are taking, especially blood thinners (e.g., aspirin, warfarin), as these may need to be stopped before the procedure.
If general anaesthetic is planned, do not eat or drink anything for 6 hours before surgery. Follow the instructions provided by the anaesthetist or hospital.
If you develop a cold, fever, or infection before your procedure, let the clinic know. Your surgery may need to be rescheduled.
An exostectomy is performed under general anaesthetic with a small incision made in the ear canal or behind the ear. The skin is carefully retracted to expose the underlying bony growth which is removed with a small surgical drill under microscopic vision. Skin flaps are retracted and surgical packing is placed in the ear to aid in healing.
The procedure typically takes between 1-2 hours, depending on complexity. You can usually go home the same day.
This can be a day or overnight stay depending on the severity of exostosis and the approach used.
Mild ear or jaw pain is expected for the first several days and normally settles over the course of a week. Paracetamol or ibuprofen is usually sufficient for pain relief. Additional pain medication can be provided if required.
A small amount of bleeding or fluid may occur for a few days but is uncommon.
If an incision is made behind the ear the sutures will dissolve and the surgical dressings can be removed after several days or at the first post operative appointment.
Please contact the clinic or seek medical help if you notice:
You will have a follow-up visit with Dr Phillips approximately 2 weeks after surgery to check on healing and remove packing placed.
Recurrence is rare but can happen, especially if the cause (such as cold water exposure) is not addressed.
Discomfort is usually mild and manageable with simple pain relief. Most people recover well within one week.
Yes. Most people require a week off depending on the type of surgery and their occupation.
Avoid swimming and air travel for at least 2 weeks after ear surgery, or until cleared by Dr Phillips.
If you’d like to discuss this procedure or explore suitable treatment options, please get in touch with Dr Nicholas Phillips’ clinic.
To book with Dr Phillips, you’ll need a referral from your GP or specialist. Questions? Call our team — we’re happy to help.
