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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

Disorders Friday!!!!

Or Fear & Loathing in the Outer Ear

outer ear disorder 1
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
outer ear disorders 2
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
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
obstruction 2
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)
neoplasms 1
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
neoplasms 2
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
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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