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Published on: May 23, 2021
[Otitis externa, a self-inflicted disease?]
F Bizindavyi1, J-P Guyot, M-I Kos
1Service d'oto-rhino-laryngologie et de chirurgie cervico-faciale HUG, 1211 Genève.
Abstract:
Otitis externa, an inflammation of the external auditory canal is the most frequent cause of ENT consultation all over the world. It can be caused by viral, bacterial or fungal infections. In most of the cases it is provoked by anatomical causes and, even more frequently inadvertently, by the patient himself. Typically, otitis externa is an isolated episode of short duration, easily treated with topical medication. It evolves rarely to the atypical forms of chronic otitis externa and malignant otitis externa. It is important to search for an allergy, eczema or immunodepression in cases of chronic otitis externa and for diabetes in cases of malignant otitis externa.
Insights
Otitis externa, an inflammation of the external ear canal, is a common ENT issue worldwide. Prompt topical treatment usually resolves acute cases, but chronic or severe forms require investigation into underlying conditions like allergies or diabetes.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Dermatology
Context:
- Otitis externa is a prevalent condition leading to frequent ENT consultations globally.
- It stems from diverse causes including viral, bacterial, and fungal infections.
- Patient-induced factors and anatomical predispositions frequently contribute to its development.
Purpose:
- To elucidate the common causes and typical presentation of otitis externa.
- To differentiate between acute, chronic, and malignant forms of the condition.
- To highlight the importance of identifying underlying systemic conditions in atypical cases.
Summary:
- Otitis externa, an external auditory canal inflammation, is a frequent global ENT consultation cause.
- While typically acute and responsive to topical treatments, it can progress to chronic or malignant forms.
- Identifying allergies, eczema, immunodepression, or diabetes is crucial for managing chronic and malignant otitis externa.
Impact:
- Provides a concise overview of otitis externa for healthcare professionals.
- Emphasizes the diagnostic significance of underlying conditions in refractory cases.
- Aids in understanding the varied etiology and management spectrum of external ear canal infections.
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