Clinic Hours: Monday – Friday - 8am - 5pm
Phone: 09 631 1965
Email: office@ear.co.nz
Surfers Ear
What is Surfer's Ear/Exostoses?
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Surfer's ear is characterised by the formation of bone lumps within the ear canal, a condition spurred by prolonged exposure to cold water and air.
These growths, while slow to develop, can lead to significant narrowing of the ear canal, trapping water, causing infections, and, in advanced stages, resulting in hearing loss. This has a high prevalence in New Zealand, with most regular surfers/ kite surfers/ wind surfers knowing about it- although they usually unaware about their own exostoses until they start struggling with clearing water from their ears.
Our Approach to Treatment
Dr Colin Brown is one of Australasia's most experienced and skilled ear surgeons. He brings a wealth of experience with well over 1000 major ear operations performed and a particular expertise in treating surfer's ear sparked by his treatment and care of children born without ear canals. His approach to care is highly personalized, recognizing that each patient's condition and needs are unique. From teenagers to individuals in their 70s, Dr. Brown has successfully treated a wide age range of patients with this condition, with the most commonly affected being men in their 40’s and 50’s. He also offers and performs revision surgery for those who have had prior unsatisfactory surgery elsewhere.
Surgical Excellence in Ear Health
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For those requiring surgical intervention, Dr. Brown offers a variety of techniques tailored to the individual's condition and recovery goals.
Highlighting the minimally invasive chisel technique, suitable for cases with a certain degree of canal openness, Dr. Brown ensures a faster return to water activities for eligible patients. For more complex cases, alternative surgical approaches, using diamond drills through cosmetic incisions ensure safe and effective treatment. Regardless of the technique, Dr. Brown's surgeries are characterized by their precision, aiming for minimal discomfort, optimized recovery times and full hearing preservation.
Commitment to Post-Operative Care and Hearing Preservation
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Beyond the surgery, Dr. Brown's practice is distinguished by its rigorous post-operative care.
With the last decade of audited surgeries demonstrating documented hearing stability, patients can trust in the enduring quality of their outcomes. Pre and post-operative hearing tests are standard, ensuring each patient's hearing health is meticulously monitored.
Understanding and Treating Surfer's Ear
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Symptoms and ProgressionWhen you have surfer's ear, water can become trapped in your ears, often requiring head shaking or jumping to dislodge it. By the time you notice this issue, the bony growths (exostoses) are typically quite large—often larger than you might expect. As the condition progresses, you may experience: Ear infections, especially after water exposure Longer-lasting infections due to the narrowed ear canal Potential hearing difficulties, particularly during infections While it's rare for exostoses to completely block the ear, we do see several cases annually where this occurs.
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Prevention and Early TreatmentTo minimize the risk of ear canal infections: Use alcohol-containing ear drops to keep the skin dry and sterilized Seek treatment early to prevent further growth of exostoses
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Surgical TreatmentSurfer's ear surgery is a relatively straightforward procedure: Performed as a day procedure at Southern Cross Gillies Hospital, Auckland Takes about 2-2.5 hours under general anesthesia Most patients return home after 2-4 hours Overnight stays available for out-of-town patients We can recommend excellent local accommodation for pre and post-op stays
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Post-Operative CareYour recovery will involve: Wearing a head bandage overnight Changing cotton wool in the ear hole as needed Managing modest discomfort with prescribed pain relief Weekly follow-up checks for the first month, then fortnightly until healed Keeping the operated ear dry until fully healed (typically 4-8 weeks) We provide detailed instructions for hair washing and showering to keep your ear dry during recovery.
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Risks of SurgeryIn experienced hands, complications are extremely rare. Dr. Brown's extensive experience includes: No cases of permanent hearing loss Only one case of wound infection in 27 years Two cases of ear drum perforation, both repaired during surgery with no post-op issues No cases requiring revision surgery for ear canal scarring or webbing While other risks exist, they are exceptionally uncommon in our practice.
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Insurance and CostsWe strive to make the process as smooth as possible: Dr. Brown has an affiliated provider contract with Southern Cross insurance Our team can assist with pre-approval for coverage of all costs for Southern Cross clients We also help with pre-approval procedures for other insurance companies We're committed to providing clear information about costs and insurance coverage to ensure peace of mind throughout your treatment journey.
Innovative and Compassionate Care
Dr. Brown's commitment to innovation in surfer's ear treatment is matched by his compassion for his patients and the pursuit of excellence in ear surgery. Whether through surgical treatment or the earlier management of symptoms with protective measures and lifestyle adjustments, Dr. Brown ensures that each patient receives comprehensive, personalized care.
Connect with Dr. Colin Brown
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If you're facing the challenges of surfer's ear, Dr. Colin Brown is here to offer expert guidance and treatment options tailored to your needs.
For consultations, including telehealth options with photographic assessments, please contact our office. Together, we can find the best path forward for your ear health and ensure your quick return to the water, with confidence and comfort.
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Regardless of where you live, if your doctor or audiologist can take photos of your ear canals, you are welcome to email them to us. Colin can offer general advice on whether your exostoses might require removal and which technique would be most suitable. Early treatment of symptomatic exostoses makes the surgery simpler and speeds up the healing process.
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