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[Chronic recurrent otitis externa. Excessive ear hygienic care can have sequelae]
1Klinik für Hals-, Nasen- und Ohrenheilkunde, Klinikum Grosshadern der LMU München. andreas.naumann@hno.med.uni-muenchen.de
MMW Fortschritte Der Medizin
|December 5, 2003
Summary
Chronic recurrent otitis externa involves factors like altered earwax pH and allergies. Diagnosis requires otoscopy and swabs, with treatment tailored to acute or chronic phases for itch relief.
Area of Science:
- Otolaryngology
- Dermatology
Context:
- Chronic recurrent otitis externa is a multifactorial condition.
- Atopic patients may have increased susceptibility to contact allergens.
Purpose:
- To outline the various factors contributing to chronic recurrent otitis externa.
- To detail diagnostic methods and treatment strategies for otitis externa.
Summary:
- Key factors include altered cerumen pH, contact allergens (e.g., nickel), auditory canal cleaning habits, foreign bodies, congenital narrowing, and systemic diseases like diabetes mellitus.
- Otoscopic examination and microbiological swabs for bacteria or fungi are essential for diagnosis.
- Treatment varies from antibiotic/antifungal preparations with cortisone for acute inflammation to pH-stabilizing lotions for chronic dry phases, aiming to alleviate pruritus.
Impact:
- Provides a comprehensive overview of otitis externa etiology and management.
- Highlights the importance of individualized treatment based on the clinical presentation.
- Aids clinicians in diagnosing and managing this common ear condition.