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2.1
Abscess of the External Auditory Meatus
Ear Infection

Presentation

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]

The association that we are presenting here between an osteoma and cholesteatoma is extremely rare with only a few reported cases in literature [3, 12, 14, 15]. [article.sapub.org]

Sometimes also hearing loss, tinnitus, or vertigo may be present. [radiologykey.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]

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]

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]

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]

Despite a massive antibiotic treatment according to antibiogram, and in one patient after the incision, the symptoms persisted. [pmaksimovich.tripod.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]

Reported etiologic factors have included trauma, surgery, radiotherapy, chronic infections, heredity, and glandular conditions, such as pituitary dysfunction. [article.sapub.org]

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]

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. 13. Naim R, Linthicum F Jr, Shen T, Bran G, Hormann K. [indianjotol.org]

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]

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]

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]

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2.1
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