Ear Canal Inflammation

Auditory Canal Inflammation (Otitis Externa): Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Otitis externa maligna Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Biopsy (tissue sampling) to exclude carcinoma. Laboratory parameters 2nd order – depending on the results of the history, physical examination and the obligatory laboratory parameters – for … Auditory Canal Inflammation (Otitis Externa): Test and Diagnosis

Auditory Canal Inflammation (Otitis Externa): Drug Therapy

Therapeutic targets Improvement of the symptomatology Elimination of pathogens Therapy recommendations Symptomatic therapy for otitis externa: Cleaning of detritus (“decay products”) and cerumen (earwax) – Cleaning of the external auditory canal with H2O2 solution (3%) and daily strip insertion with ointment (e.g., aureomycin ointment) or solutions containing cortisone or ciprofloxacin. After decongestion of the auditory … Auditory Canal Inflammation (Otitis Externa): Drug Therapy

Auditory Canal Inflammation (Otitis Externa): Medical History

Medical history (history of illness) is an important component in the diagnosis of otitis externa (otitis media). Family history What is the general health of your family members? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed in yourself? How long have these changes existed? Do you have … Auditory Canal Inflammation (Otitis Externa): Medical History

Auditory Canal Inflammation (Otitis Externa): Or something else? Differential Diagnosis

Infectious and parasitic diseases (A00-B99). Zoster oticus – cardiac pes zoster (shingles); in herpes zoster oticus, the typical rash is found in the ear canal. Musculoskeletal system and connective tissue (M00-M99). Temporomandibular joint arthropathy (TMJ disorder). Cervical neuralgia – primarily in the neck localized pain symptoms. Neoplasms (C00-D48) Carcinoma of the auditory canal Ears – … Auditory Canal Inflammation (Otitis Externa): Or something else? Differential Diagnosis

Auditory Canal Inflammation (Otitis Externa): Complications

The following are the most important diseases or complications that may be co-morbid due to otitis externa diffusa: Ears – mastoid process (H60-H95). Myringitis (inflammation of the eardrum). The following are the main diseases or complications that may be contributed by otitis externa circumscripta: Skin and subcutaneous (L00-L99). Furuncle (inflammation of a hair follicle that … Auditory Canal Inflammation (Otitis Externa): Complications

Auditory Canal Inflammation (Otitis Externa): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Auricle [pressure-painful tragus (tragus is the small cartilaginous mass on the auricle that rests just anterior to the ear canal; edematous (swollen) auricle)] Auditory canal [discharge … Auditory Canal Inflammation (Otitis Externa): Examination

Auditory Canal Inflammation (Otitis Externa): Diagnostic Tests

Obligatory medical device diagnostics. Otitis externa maligna Computed tomography of the skull (cranial CT, cranial CT or cCT) – to determine the spread of inflammation; or Magnetic resonance imaging of the skull (cranial MRI, cranial MRI or cMRI) – to determine the spread of inflammation. Skeletal scintigraphy (nuclear medicine procedure that can represent functional changes … Auditory Canal Inflammation (Otitis Externa): Diagnostic Tests

Auditory Canal Inflammation (Otitis Externa): Prevention

To prevent otitis externa (ear canal inflammation) diffusa, attention must be paid to reducing individual risk factors. Behavioral risk factors Exaggerated “ear hygiene” (soapy water; manipulation with ear or cotton swabs). Irritation of the skin by piercing, earrings, ear moulds. Allergic reactions / eczema against hair shampoos, hair sprays, cosmetics. Other risk factors “Swimming pool … Auditory Canal Inflammation (Otitis Externa): Prevention

Auditory Canal Inflammation (Otitis Externa): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate otitis externa (ear canal inflammation): Usually acute onset within 48 hours. Leading symptoms Otalgia – severe pain in the pinna and ear canal, especially when speaking and chewing (unilateral, rarely bilateral ear pain (10%)). Pressure painful tragus (tragus pressure pain; as tragus is the small cartilaginous mass on … Auditory Canal Inflammation (Otitis Externa): Symptoms, Complaints, Signs

Auditory Canal Inflammation (Otitis Externa): Causes

Pathogenesis (development of disease) In otitis externa, inflammation of the ear canal occurs due to a variety of triggers. The most common bacterial pathogens are Pseudomonas aeruginosa (58%) and Staphylococcus aureus (18%). Other pathogens may include: Proteus mirabilis (4%), Streptococcus pyogenes (2%), Escherichia coli (2%), Enterococcus sp. (2%), and Aspergillus sp. (2%). Otitis externa diffusa: … Auditory Canal Inflammation (Otitis Externa): Causes

Auditory Canal Inflammation (Otitis Externa): Therapy

General measures Observance of the general hygiene measures! Prevention: No extensive washing of the ear canals with soap; this dries out the ear canal, makes the ear canal skin brittle and thus facilitates the penetration of germs. After contact with water, blow dry the ear to avoid creating a moist environment in the ear canal. … Auditory Canal Inflammation (Otitis Externa): Therapy