Presentation
We present a very rare case with bilateral AICA presenting with pulsatile middle ear discharge from his left ear and left sided conductive hearing loss. [ncbi.nlm.nih.gov]
All female patients had a body mass index (BMI) greater than 30 mg/kg. [9] The most common presenting symptom was otorrhea after a myringotomy or placement of a tympanostomy tube. [9] In some rare presentation of spontaneous CSF otorrhoea, it can be presented [indianjotol.org]
This occurs in 10%–30% of skull base fractures and most often presents with rhinorrhea (80% of cases) in the setting of frontobasal fracture [59,60]. However, it may present with otorrhea in the setting of temporal bone fracture. [tripdatabase.com]
Children with acute otitis media also present with restlessness, irritability, loss of appetite and may be seen constantly interfering with the ear. [healthhype.com]
Entire Body System
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Soft Tissue Mass
tissue mass with adjacent bony defect leakage of contrast into middle ear cavity bony defects labyrinthine malformations fistulous tracts enlarged labyrinthine facial nerve canal MRI Findings include: CSF signal intensity in the bony defects CSF signal [radiopaedia.org]
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Relapsing Polychondritis
Relapsing polychondritis Involves cartilage of pinna and external auditory canal Intense otalgia is seen End stage is fibrosis Sparing of lobule differentiates it from cellulitisAutor: 18.04.12 33. [slideshare.net]
Respiratoric
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Sighing
Understandably the sigh of any discharge from the ear can be considering especially when it is not the typical brown and thick earwax that we are accustomed to, and ear secretions can sometimes be a sign of a serious underlying disorder. [phaa.com]
Gastrointestinal
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Overeating
METHODOLOGY: This was a retrospective review of laboratory records of all ear swabs submitted for culture over a two year period in the Korle Bu Teaching Hospital Accra, Ghana. [ncbi.nlm.nih.gov]
You can also use over-the-counter medicated ear drops after you swim to control and alleviate swimmer’s ear. Shop for over-the-counter ear drops online. Shop for ear plugs or muffs online. [healthline.com]
Ear and surrounding tissues (particularly the area over the mastoid) are inspected for erythema and edema. The pinna is pulled and the tragus is pushed gently to see whether pain is worsened. [merckmanuals.com]
Ears
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Referred Otalgia
Referred otalgia TM joint disorders Eagle syndrome Gerd Neuralgias Neoplasms of oropharynx/oral cavity Cervical arthritisAutor: 18.04.12 36. Ear discharge Wax (Normal) Pus Mucous Blood CSF SalivaAutor: 18.04.12 37. [slideshare.net]
Skin
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Chronic Dermatitis
Chronic otitis externa can be caused by a bacterial infection, but it is more likely to be caused by chronic dermatitis of the ear canal. [healtreatcure.org]
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Cradle Cap
Poscs It sounds like seborrheic dermatitis, which is similar to cradle cap, but commonly appears behind the ears, in the naso-labial folds, and the eyebrows, and can plague adults as well as children. [parentingbanter.com]
Neurologic
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Poor Coordination
There may be pain, swelling of the ear, itching, hearing loss, tinnitus (ringing in the ears), vertigo and poor coordination depending on the underlying cause. [phaa.com]
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Cranial Nerve Finding
Patients with chronic or recurrent ear symptoms (diagnosed or undiagnosed), cranial nerve findings, or systemic symptoms should have specialty referral. Click here for Patient Education [merckmanuals.com]
Workup
"Cost-effective workup for tonsillitis. Testing, treatment, and potential complications". Postgrad Med. 113 (3): 115–8, 121. doi:10.3810/pgm.2003.03.1391. [en.wikipedia.org]
Treatment
The trials compared treatment with placebo or one treatment with another. The primary outcome measure was the duration of the discharge. [ncbi.nlm.nih.gov]
Once they identify the cause, they’ll recommend the right treatment for you. [specsavers.co.uk]
Prognosis
Prognosis Most cases of otitis externa resolve within a few days of starting treatment. The condition will tend to recur unless underlying causative factors are addressed. [patient.info]
[…] techniques, sometimes involving two surgeries;[2][13] success rates are, however, variable.[14][15][16] Damage to the inner ear as a result of surgical procedures is a possible and serious concern, as it can result in forms of sensorineural deafness.[17] Prognosis [en.wikipedia.org]
Etiology
Etiology congenital labyrinthine malformation abnormal development of facial canal bony and dural defects along the temporal bone iatrogenic aberrantly distributed arachnoid granulations infection traumatic most often due to transverse fractures of the [radiopaedia.org]
Patients without an obvious etiology on examination require audiogram and CT of the temporal bone or gadolinium-enhanced MRI. Biopsy should be considered when auditory canal granulation tissue is present. [pedclerk.uchicago.edu]
Cerebrospinal fluid leaks of temporal bone origin: Etiology and management. ORL J Otorhinolaryngol Relat Spec 2005;67:51-5. Epub 2005 Mar 7. [Figure 1], [Figure 2] [indianjotol.org]
Patients without an obvious etiology on examination require audiogram and CT of the temporal bone or gadolinium-enhanced MRI. [merckmanuals.com]
CRACKCast E038 – Pediatric Trauma (growing fractures) may develop ( 2mm of separation) 4) fracture extending over the area of the medial meningeal artery 5) rhinorrhea, otorrhea 11) Describe the typical presentation and etiologic cause of an epidural [tripdatabase.com]
Epidemiology
[…] deafness.[17] Prognosis[edit] In most cases, tympanosclerosis does not cause any recognisable hearing loss up to ten years after the initial disease onset.[5][18] Sclerotic changes seem to stabilise, but not resolve or dissolve, after 3 years.[9][19] Epidemiology [en.wikipedia.org]
Casselbrant ML, Mandel EM (2003) Epidemiology. In: Rosenfeld RM, Bluestone CD, editors. Evidence-Based Otitis Media. 2 ed. Hamilton, Ontario, Canada: BC Decker Inc. 150–158. 9. Rovers MM, Schilder AG, Zielhuis GA, Rosenfeld RM (2004) Otitis media. [journals.plos.org]
Author Affiliations From the Department of Epidemiology, Julius Center for Health Sciences and Primary Care (T.M.A.D., G.J.M.G.H., R.P.V., M.M.R., A.G.M.S.), and the Department of Otorhinolaryngology, Division of Surgical Specialties (G.J.M.G.H., R.P.V [nejm.org]
Epidemiology 90% of children suffer from OME before school age (usually 6 months to 4 years) 30-40% of children with recurrent OME 5-10% last greater than 1 year 40. [slideshare.net]
Pathophysiology
Several theories are currently being considered regarding the pathophysiology of cerebrospinal fluid fistulas with a spontaneous origin. [elsevier.es]
If there is an association, it is likely that the two conditions co-exist.[2] Pathophysiology[edit] Increased fibroblast activity results in deposition of collagen. [en.wikipedia.org]
Prevention
For swimmers, it is essential to use a swim cap to prevent entry of water into the ear canal and prevent bacterial or fungal infection. [simple-remedies.com]
This installment features a Cochrane Review, "Interventions for the Prevention of Postoperative Ear Discharge after Insertion of Ventilation Tubes (Grommets) in Children," that concludes if a surgeon has a high rate of postoperative otorrhea in children [ncbi.nlm.nih.gov]
Prevention Before using those home remedies for ear discharge, learn how to reduce the risks of the infections. Bear in mind that the ear infection in the kids can be easily prevented by keeping their rooms warm and dry. [authorityremedies.com]
Preventing otorrhea It’s not always possible to prevent otorrhea, but there are some things to keep in mind in terms of maintaining good ear health. [specsavers.co.uk]
Swimmer's ear must be treated by your doctor to prevent further spreading of the infection. Essentially, your doctor will get you eardrops' antibiotics for almost a week. [enkiverywell.com]