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Disorders Friday!!!!. Or Fear & Loathing in the Outer Ear. Outer Ear Disorder 1. Symptoms Ear red & swollen May be some watery discharge Acute or chronic Diffuse or localized Typically mild Population Swimmers Ear constantly moist Anyone (most common ailment)

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Disorders friday l.jpg

Disorders Friday!!!!

Or Fear & Loathing in the Outer Ear


Outer ear disorder 1 l.jpg
Outer Ear Disorder 1

  • Symptoms

    • Ear red & swollen

    • May be some watery discharge

    • Acute or chronic

    • Diffuse or localized

    • Typically mild

  • Population

    • Swimmers

      • Ear constantly moist

    • Anyone (most common ailment)

      • Scratching or irritation to area

      • Fungal

  • Diagnosis

    • Otitis Externa

    • Keep dry, use topical antibiotics

      • Very treatable, 1 week recovery


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Outer Ear Disorders 2

  • Symptoms

    • Colored ear

      • Black (85%), yellow, gray, white, blue-green

      • Itchy

    • Wet or full feeling

    • Initially mild hearing loss, may be progressive

  • Population

    • Recent users of antibiotics

    • Residents of very hot, humid environments

  • Diagnosis

    • Otomycosis (special case of Otitis Externa)

    • Keep dry, use topical antibacterial

      • More difficult treatment


Outer ear obstruction 1 l.jpg
Outer Ear Obstruction 1

  • Symptoms

    • Better hearing in Sound Field than Earphone

    • Soft cartilage

    • Moderate hearing loss, especially with high frequencies

  • Population

    • Older adults

  • Diagnosis

    • Collapsed ear canal

      • Obstruction blocks sound

      • Ear collapses with earphones

    • Ear may be held open, but the problem is chronic


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Obstruction 2

  • Symptoms

    • Cerumen build-up (otoscope)

    • Itching, irritation

    • Mild to moderate conductive hearing loss

    • Mild tinnitus (rare)

  • Population

    • Anyone

      • Asian (dry) vs. Euro-African (wet) cerumen?

  • Diagnosis

    • Impacted Cerumen

    • Treatment Irrigation

      • May cause middle ear infection, require multiple attempts

    • Softening Drugs (see Guest et al., 2004)


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Neoplasms 1

  • Symptoms

    • Fullness (possible pain)

    • Otoscopic inspection shows growth

    • Unilateral mild conductive hearing loss

  • Population

    • Anyone

      • Older adults

  • Diagnosis

    • Exotoses/Osteomas – bony tumors

      • Benign

    • May be removed with surgery


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Neoplasms 2

  • Symptoms

    • Fullness

    • Mild conductive hearing loss

    • Otoscopic inspection shows blockage

      • Purple growth

  • Population

    • Infants, less than 2 months of age

  • Diagnosis

    • Hemangiomas – Blood filled growth

      • If unusual size may displace structures

      • Blockage of the Meatus

      • Very RARE

    • Treatment

      • Self resolving (age 5)

      • Steroids


Outer ear disorders big picture l.jpg
Outer Ear Disorders – Big Picture

  • Infections & blockages

    • Typically mild conductive hearing loss

    • Less than 10 dB HL difference

  • Neoplasms

    • Growths with low risk of affecting hearing


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