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Diseases of External Ear & Otitis Media

The document discusses diseases of the external ear and otitis media. It covers various congenital anomalies and traumatic injuries of the auricle. It also describes perichondritis, different types of otitis externa including their causes, symptoms, and treatment. For acute otitis media, it outlines predisposing factors, routes of infection, typical bacteria involved, pathogenesis, clinical presentation, and treatment options which may include antibiotics or myringotomy. Recurrent acute otitis media is defined as three or more attacks in six months and is usually treated with ventilation tube insertion.

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87 views36 pages

Diseases of External Ear & Otitis Media

The document discusses diseases of the external ear and otitis media. It covers various congenital anomalies and traumatic injuries of the auricle. It also describes perichondritis, different types of otitis externa including their causes, symptoms, and treatment. For acute otitis media, it outlines predisposing factors, routes of infection, typical bacteria involved, pathogenesis, clinical presentation, and treatment options which may include antibiotics or myringotomy. Recurrent acute otitis media is defined as three or more attacks in six months and is usually treated with ventilation tube insertion.

Uploaded by

Nguyễn Thành
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 36

) Ear II (

Diseases of External Ear


&
Otitis media

Dr. Farid Alzhrani


Assistant professor
Consultant of Otolaryngology, head and neck surgery
King Abdulaziz University Hospital
Objectives
• Congenital anomalies of auricle
• Traumatic injury and it’s complications
• Perichondritis
• Otitis externa ,classifications ,presentation
and treatment
• Acute otitis media
• Recurrent otitis media
DISEASES OF THE
EXTERNAL EAR
EXTERNAL EAR

Auricle

External Canal
THE AURICLE
Congenital Malformations .1

• Anotia & microtia

• Accessory auricle

• Preauricular sinus

• Protruding ear
Trauma To The Auricle .2
• Lacerations

• Hematoma auris
Complication

Cauliflower ear
Perichondritis Of The Pinna .3
• Usually follow trauma
(hematoma auris, surgical,
frostbite, burn) or otitis externa

• Commonly caused by
Pseudomonas

• Fever, pain, redness and


swelling
• Treatment is by antibiotics
OTITIS EXTERNA
Definition

An acute or chronic infection of the whole or a part

of the skin of the external ear canal.


CAUSES OF OTITIS EXTERNA

INFECTIVE REACTIVE

Bacterial Fungal Viral Eczematous Seborrheic

Staph. arues Aspirigillus Niger Herpes zoster

Pseudomonos Candida Albicans Others

Others
Clinical Features Of Otitis Externa

• Itching

• Pain

• Tenderness and swelling

• Otorrhea

• Deafness

• Changes in the lumen and skin of EAM


Clinical Types Of Otitis Externa

1. Localize O.E (furuncle)


Clinical Types Of Otitis Externa

2. Diffuse infective O.E.


Clinical Types Of Otitis Externa

3. Otomycosis
Clinical Types Of Otitis Externa

4. Bullous myringitis
Clinical Types Of Otitis Externa

5. Herpetic O.E.
Clinical Types Of Otitis Externa

6. Eczematous and
seborrheic O.E.
Clinical Types Of Otitis Externa

• Localize O.E ( furuncle)


• Diffuse infective O.E.
• Otomycosis
• Bullous myringitis
• Herpetic O.E
• Eczematous and seborrheic O.E.
• “Malignant” otitis externa
Managment Of Otitis Externa

• Swab for culture and


sensitivity
• Ear toilet
• Keep the ear dry
• Local medications
• Systemic medications
• Surgery may be required in
chronic cases
ACUTE OTITIS MEDIA
Definition

Acute infection of the mucous membrane

lining of the middle ear cleft.


Predisposing Factors
• Age
• Bottle feeding
• Climate
• Crowded living conditions
• Associated conditions: cleft
palate, immunodeficiency,
ciliary dyskinesia, Down
syndrome, and cystic
fibrosis
Route Of Infection

• Eustachian tube

• External auditory canal

• Blood borne
Bacteriology

• Streptococcus pneumonia
• Haemophilus influenzae
• Moraxella catarrhalis
• Streptococcus pyogens
• Staphylococcus aureus
Pathogenesis
• Tubal occlusion

• Exudative inflammation

• Suppurative inflammation

• Tympanic membrane
rupture

• Resolution
Clinical Picture
• Tubal occlusion
– Discomfort, autophony, retracted
drum
• Exudative inflammation
– Fever, earache, deafness,
congested drum
• Suppurative inflammation
– Fever, sever earache, deafness,
bulging drum
• Tympanic membrane rupture
– Otorrhea... temp. & earache
subside
• Resolution
Treatment

• Symptomatic

• Antimicrobials

• Decongestant

• Myringotomy

• Ear toilet and local


antibiotics
RECURRENT ACUTE OTITIS
MEDIA
Definition

Three or more attacks of acute otitis media over a 6-months period.


Treatment

Ventilation tube insertion


THANK YOU

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