Exostoses (Surfer’s Ear)

Exostoses, also known as Surfer’s Ear, are slow-progressing benign bone growths that form in the ear canal. These growths cause narrowing of the ear canal and can obstruct the view of the eardrum. The condition is strongly associated with cold water exposure, hence its nickname.

If left untreated, exostoses may lead to complete ear canal blockage and an increased risk of ear infections.

Symptoms

  • Water getting trapped in the ear after swimming or surfing, leading to a feeling of fullness or blockage
  • Hearing loss
  • Earwax impaction
  • Ear infections
  • Tinnitus

Treatment

  • Topical antibiotics
  • Use of earplugs to keep ears dry (ensure earplugs are cleaned after use to avoid reinfection)
  • Surgical removal of the bony growths if symptomatic
  • Surgery is usually a day case with same-day discharge
  • One week off work or school is typically recommended for recovery

Note: All water sports must be avoided until the skin lining of the ear canal has completely healed. Full recovery takes between 4 to 8 weeks depending on the individual.

FAQs

Exostoses are slow-growing bony lumps within the ear canal. They typically take years to develop and become problematic.

Most people with exostoses experience no pain. The bony growths themselves are not painful but may eventually cause hearing issues and increase the risk of infections.

Yes, exostoses can cause tinnitus, but typically only in more advanced or extreme cases.