Presentation
Perfect for radiologists who need a comprehensive reference while working on difficult cases, it presents a complete yet concise overview of imaging applications, findings, and interpretation in every anatomic area. [books.google.com]
We present the first report in the English literature of a case of primary EACC presenting as cerebellar abscess. [indianjotol.org]
The present case describes a 19-year-old male who presented with gradually progressive diminution of hearing in a previously naïve right ear since 8 months. [ijri.org]
Furuncle of the Ear Canal This patient presented with severe right ear pain. The arrow points to a very painful swelling at the opening of the ear canal. Note the inflammation and oedema in front of the ear. [drsethi.com.sg]
Sometimes also hearing loss, tinnitus, or vertigo may be present. [radiologykey.com]
Entire Body System
- Chronic Infection
[…] otitis externa Right otitis externa Applies To Otitis externa (acute): NOS circumscribed diffuse hemorrhagica infective NOS ICD-9-CM Volume 2 Index entries containing back-references to 380.10 : Abscess (acute) (chronic) (infectional) (lymphangitic) [icd9data.com]
Chronic middle-ear infection Chronic infection of the middle ear occurs when there is a permanent perforation of the tympanic membrane that allows dust, water, and germs from the outer air to gain access to the middle-ear cavity. [britannica.com]
Reported etiologic factors have included trauma, surgery, radiotherapy, chronic infections, heredity, and glandular conditions, such as pituitary dysfunction. [article.sapub.org]
Sun exposure, fair complexion, cold injury, radiation exposure and chronic infection as well as an association with HPV induced viral carcinogenesis are among the predisposing factors [ 20, 34, 35 ]. [head-face-med.biomedcentral.com]
- Pathologist
Eng., Registrar and Pathologist to the East London Hospital for Children. With Illustrations, crown 8vo, 5s. G. E. SHUTTLEWORTH, B.A., M.D. [archive.org]
- Hypersomnia
H61.012 Acute perichondritis of left external ear C44.321 Squamous cell carcinoma of skin of nose G47.09 Other insomnia H61.013 Acute perichondritis of external ear, bilateral C44.329 Squamous cell carcinoma of skin of other parts of face G47.19 Other hypersomnia [practicesuite.com]
Respiratoric
- Dyspnea
unspecified K11.21 Acute sialoadenitis T16.2XXD Foreign body in left ear, subsequent encounter R06.09 Other forms of dyspnea K11.22 Acute recurrent sialoadenitis T16.2XXS Foreign body in left ear, sequela R06.1 Stridor H93.12 Tinnitus, left ear T17.0XXA [practicesuite.com]
Gastrointestinal
- Diarrhea
Symptoms may also include diarrhea, discharge, swelling and redness around the ear. [healdove.com]
Ears
- Otalgia
Diagnosis Special alertness is required when external otitis is refractory to treatment and patients complain of severe otalgia, especially at night. [lessons4medicos.blogspot.com]
The clinical picture includes acute severe otalgia with conductive hearing loss whereas otorrhea is rare. [1] There is a predilection for young age and bilateral involvement. [ijri.org]
In some patients, OE can cause severe otalgia necessitating administration of narcotic pain relievers. Pain usually improves 2-5 days after initiating therapy. Temporary hearing loss is common secondary to canal occlusion. [emedicine.medscape.com]
Severe otalgia is the most common symptom; the patients may also suffer from purulent otorrhea. [radiologykey.com]
right ear Q38.1 Ankyloglossia J96.02 Acute respiratory failure with hypercapnia H92.02 Otalgia, left ear Q89.2 Congenital malformations of other endocrine glands J96.11 Chronic respiratory failure with hypoxia H92.03 Otalgia, bilateral R04.0 Epistaxis [practicesuite.com]
Face, Head & Neck
- Facial Pain
pain H61.121 Hematoma of pinna, right ear C44.49 Other specified malignant neoplasm of skin of scalp and neck G51.0 Bell’s palsy H61.122 Hematoma of pinna, left ear C73 Malignant neoplasm of thyroid gland H6.301 Acquired stenosis of right external ear [practicesuite.com]
Neurologic
- Irritability
Both cotton swabs and earplugs can cause irritation and itching, and can plug the ear with wax. Follow instructions your health professional has given you to treat skin problems (eczema, psoriasis and seborrhoea) that may cause ear canal irritation. [health24.com]
[…] of an ear infection usually start quickly and include: pain inside the ear a high temperature of 38C or above being sick a lack of energy difficulty hearing discharge running out of the ear feeling of pressure or fullness inside the ear itching and irritation [nhs.uk]
However, only use them if they do not irritate the skin in your ear canal. [patient.info]
Dose-dependent response to irritants ranging from acids to alkalis to excess water Insidious onset with lichenification Allergic contact dermatitis Less dose-dependent than irritant contact dermatitis; requires predisposition to react to the allergen [aafp.org]
Irritability This is much easier to perceive in younger individuals. Toddlers and infants that are irritable and crying haphazardly may be developing an ear infection. Hearing Loss This is a big red flag that should be heeded immediately. [healdove.com]
- Meningism
Meningitis, otogenic, left 7. Abscess, extradur Title: L-191 COM extra dural abscess Chapter: Infections Chapter section: Brain Abscess TB Case Number: 290 Gender: Male Age(yrs.): 16 otologic_dx: 1. Tympanomastoiditis, chronic, suppurative, left 2. [otopathologylaboratory.org]
Meningitis 4. Brain abscess 5. Lateral sinus thrombophlebitis. 6. Otitic hydrocephalus General symptoms of intracranial infection occur due to the following: 1. Due to the infection itself 2. [specialist-ent.com]
Infection may spread to the mastoid antrum and cells, causing the dangerous condition known as mastoiditis; to the meninges, c;ausing meningitis; to the great veins of the brain, causing clotting in the venous channels; to the labyrinth or organ of equilibrium [smokh.org]
Infection could also spread and involve the facial nerve, and central nervous system leading to meningitis, epidural and cerebellar abscesses, subdural empyema, or venous sinus thrombosis. [hawaii.edu]
Discuss patients immediately if they have central neurological signs such as meningism and reduction in GCS. [entsho.com]
- Headache
Headache Serious ear infection may provoke a throbbing pain behind the ear. This pain may also be displaced, leading to an intense headache. Irritability This is much easier to perceive in younger individuals. [healdove.com]
Headache 2. Malaise 3. Fever, drowsiness 4. Neck rigidity with Kernig's sign positive. 5. Hemiplegia with cranial nerve involvement Treatment of intracranial complications of chronic suppuration otitis media: 1. [specialist-ent.com]
The more obvious ones are shivering fits, giddiness, headache and stiffnrss of the neck. [smokh.org]
Case Report A 55-year-old female admitted in the neurosurgery department with a history of intermittent fever and headache on left side for 1 month. [indianjotol.org]
[…] ear drum, sequela Z09 Encounter for follow-up examination after completed treatment for condition other than malignant neoplasm R49.0 Dysphonia S09.92XA Unspecified injury of nose, initial encounter Z43.0 Encounter for attention to tracheostomy R51 Headache [practicesuite.com]
- Giddiness
The more obvious ones are shivering fits, giddiness, headache and stiffnrss of the neck. [smokh.org]
Hearing loss was also present but it was not accompanied by any history of tinnitus or giddiness. On examination, her right external ear was filled with pale reddish fleshy polypoidal mass and tympanic membrane landmarks were not visible. [jpgmonline.com]
[…] malignant neoplasm R22.1 Localized swelling, mass and lump, neck S09.21XA Traumatic rupture of right ear drum, initial encounter Z09 Encounter for follow-up examination after completed treatment for condition other than malignant neoplasm R42 Dizziness and giddiness [practicesuite.com]
Senior Aurai Surgeon, London Hospital; Lecturer on Diseases of the Ear, London Hospital Médical Collège. f)N DEAFNESS, GIDDINESS, AND NOISES IN w THE HEAD. Fourth Edition, Part I., with Illustra- tions, Svo, ios. 6d. [Now rcady. [archive.org]
- Insomnia
[…] right external ear C44.319 Basal cell carcinoma of skin of other parts of face F80.4 Speech and language development delay due to hearing loss H61.012 Acute perichondritis of left external ear C44.321 Squamous cell carcinoma of skin of nose G47.09 Other insomnia [practicesuite.com]
For some days insomnia ; several rigors ; tongue white ; scanty ÔO MASTOID ABSCESSES. discharge from the ear. [archive.org]
Workup
[…] better depicts bony erosion [5] Radionucleotide bone scanning Gallium scanning Magnetic resonance imaging (MRI) - Not used as often as the other modalities; may be considered secondarily or if soft-tissue extension is the predominant concern [6] See Workup [emedicine.medscape.com]
Treatment
Symptoms to watch for during home treatment Ear pain and itching that persists or worsens after five days of home treatment. Any ear discomfort lasting longer than a few days. [health24.com]
Remember that the treatment of boils is not difficult, but for full recovery you must strictly adhere to treatment. [medicalj-center.info]
Ear Canal and Temporal Bone Cancer Treatments The type of treatment for this tumor depends on the size, the type or stage of cancer, and the exact location of tumor. Surgery is usually performed first, followed by radiation therapy. [cedars-sinai.edu]
A lab culture may be ordered to identify the particular organism only if the first treatment recommended by the doctor doesn't seem to be working. [medbroadcast.com]
A.fumigatus- pale blue or green Candida- white or creamy deposit. treatment: Cleansing of the ear canal by suctioning is a principal treatment. [lessons4medicos.blogspot.com]
Prognosis
The prognosis of mastoiditis depends on the extent of the infection. Fortunately, if detected early prior to intracranial involvement, the prognosis is very good. [hawaii.edu]
[…] infections, surgery can be performed to improve patency (but see below) Sometimes, recurrent infection leads to formation of a false fundus and patients tend to find that they suffer little or no further AOE; they may choose to live with the hearing deficit PROGNOSIS [entsho.com]
This content is accurate and true to the best of the author’s knowledge and does not substitute for diagnosis, prognosis, treatment, prescription, and/or dietary advice from a licensed health professional. [healdove.com]
Hence, we limited our description to the diseases which are frequent or call for special attention because of their prognosis. [head-face-med.biomedcentral.com]
Prognosis depends on the time when the lesion is detected. Higher rates of recurrence are seen in cases of larger lesions and bony erosions. A soft tissue lesion in the EAC with features of bone erosion on HRCT may suggest EACC. [ijri.org]
Etiology
Etiology: Trauma to skin in this area followed by infection is commonly attributed cause. The organism responsible is commonly staph aureus. Symptoms: 1. Localised pain 2. Localised itching 3. Purulent discharge if the abscess ruptures 4. [sites.google.com]
BACTERIAL OTITIS EXTERNA Etiology and Presentation Like all skin, the external auditory canal has a normal bacterial flora and remains free of infection unless its defenses are disrupted. [aafp.org]
Cholesteatoma of the external ear canal: etiological factors, symptoms and clinical findings in a series of 48 cases. BMC Ear Nose Throat Disord. 2006;23;6: 16. Park SY, Jung YH, Oh JH. [revistas.usal.es]
Cholesteatoma of the external ear canal: etiological factors, symptoms and clinical findings in a series of 48 cases. BMC Ear Nose Throat Disord. 2006;6:16 [ Links ] 4. Aymat A, Morgan DW, Henderson J. External acoustic meatus cholesteatoma. [scielo.isciii.es]
Etiology OE is most often caused by a bacterial pathogen; other varieties include fungal OE (otomycosis) and eczematoid (psoriatic) OE. [12] In one study, 91% of cases of OE were caused by bacteria. [7] Others have found that as many as 40% of cases of [emedicine.medscape.com]
Epidemiology
The epidemiology of skin cancer. Br J Dermatol 2002;146:1-6. 2. Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: Incidence. J Am Acad Dermatol 1994;30:774-8. 3. Kwa RE, Campana K, Moy RL. [jpgmonline.com]
[…] countries. [9] Age-, sex-, and race-related demographics Although the infection can affect all age groups, OE appears to be most prevalent in the older pediatric and young adult population, with a peak incidence in children aged 7-12 years. [12] A single epidemiologic [emedicine.medscape.com]
Epidemiology 1 in 10,000 to 15,000 births Up to 50% of the time associated with some craniofacial syndrome Unilateral : Bilateral, about 3:1 30% are bilateral Atresia : Microtia, 7:1 Slightly more common on the right Male : Female, 2:1 7 [slideshare.net]
A few cases are reported in the literature, the exact epidemiologic data is not available as many patients never seek professional help about it. Figure 2 Ganuloma Fissuratum. [head-face-med.biomedcentral.com]
Pathophysiology
Otalgia Pathophysiology: The primary pathophysiology is located in the geniculate ganglion of the facial nerve. Geniculate ganglion is found to be affected by Human Herpes virus type 3 i.e. (Varicella zoster virus). [lessons4medicos.blogspot.com]
Pathophysiology OE is a superficial infection of the skin in the EAC. [emedicine.medscape.com]
Prevention
Treatment and Prevention A doctor will check to see if pulling the earlobe gently or pushing the tragus, the small flap of ear just in front of the canal opening, causes pain. [medbroadcast.com]
Prevention There are a few ways to prevent an ear abscess. You should avoid every cold and infection possible, and take care of your health. Remove the diseased tonsils if your physician recommends it. [healdove.com]
Prevention To prevent ear infections, avoid swimming in polluted water and keep the ears as dry as possible. [medicalnewstoday.com]
Can I prevent infections in the ear canal? Some people find that water, soap, shampoo, hair spray, etc, which gets into their ears can cause irritation or itch. [patient.info]
Prevention Otitis externa is usually preventable with the following measures: Keep your ears dry. If you are prone to infections, use earplugs or a bathing cap when showering or swimming. [health24.com]