FESSDRRAJINI
Monday, November 30, 2009
SWIMMING-EAR INFECTIONS
SWIMMING-LINKED TO EAR INFECTION
INTRODUCTION
‘OTITIS EXTERNA “OR ‘SWIMMER’S EAR” OR “TROPICAL ERA”IS A DISEASE PROCESS THAT INVOLVES INFECTION OR INFLAMATION OF EXTERNAL EAR CANAL.IT CAN BE SIMPLE INFECTION OR EVEN LEAD TO NECTROTIZING OTITIS EXTERNA.
SYMPTOMS
SEVERE PAIN LEADS THE PATIENT TO SEEK MEDICAL CARE.
REDNESS OF THE EAR SKIN,ITCHING SENSATION OF THE EAR CANAL AND SCRATING THE EAR CANAL WITH UNSKILLED INSTRUMENTS AFTER SWIMMING CAUSING BREAK IN THE EAR SKIN LINING SETS THE ORGANISMS TO INVADE &LEAD TO SEVERE INFECTION.
RARELY OTITIS EXTERNA IS DUE TO ALLERGY TO EAR DROPS OR SECONDARY TO MIDDLE EAR INFECTION.
EAR OOZING IS ANOTHER COMMON COMPLAINT FROM THE PATIENTS,INITIALLY IT IS THIN SEROUS ,LATER BECOMES THICK,PURULENT, THEN THE EAR MEATUS BECOMES INFLAMED AND SWOLLEN & THERE WILL BE HEARING LOSS.
IN SEVERE CASES ,THE MEATAL SKIN BECOMES STENOSED,REGIONAL LYMPH NODES ARE ENLARGED AND PAINFUL.
CLASSIFICATION
LOCALISED OTITIS EXTERNA
DIFFUSE OTITIS EXTERNA
CAUSES ,SIGNS & SYMPTOMS
COMMON RISK FACTORS WITH OTITIS EXTERNA INCLUDE TRAUMA TO EAR CANAL .DIABETES,HIGH HUMIDITY,LOSS OF CANAL’S PROTECTIVE COATING OF CERUMEN,SWIMMING,USING HEARING AID OR STETHOSCOPE.
SYMPTOMS ARE PAIN,HEARING LOSS,DISCHARGE,ITCHING,TINNITUS.
NECROTISING OTITIS MEDIA IS A SEVERE FORM OF OTITIS EXTERNA SEEN WITH ELDERLY PATIENTS WITH DIABETES COMMON FINDINGS ARE ,PAIN,PURELENT DISCHARGE,GRANULATION OF EXTERNAL CANAL.
DIAGNOSIS IS BASED ON PHYSICAL FINDINGS
COMPLICATIONS USUALLY ARE CANAL STENOSIS,MYRINGITIS,TYMPANIC MEMBRANE PERFORATION,AURICULUM CELLULITIS,PERICHONDRITIS PAROTITIS, AND MALIGNANT OTITIS EXTERNA CAN BE FATAL.
TREATMENT
LOCAL CLEANSING OF DEBRIS,EITHER BY DRY MOPPING.SUCTION CLEARANCE OR IRRIGATION THE EAR CANAL WITH WRAM STERILE SALINE.
MEDICATED WICKS SOAKED WITH ANTIBIOTICS,STENOID PREPARTION IS KEPT IN THE EAR CANAL.GLYCERINE MASULF PAEK REDUCES THE EDEMA DRASTICALLY. ALUMINIUM ACETATE 8% OR SILVER NITRATE 3% ARE MILD ASTRINGENTS USED TO DRY UP OOZING MEATUS.
BROAD SPECTRUM ANTIBIOTICS ARE USED WHEN THERE IS CELLUTITIS OR TENDER LYMPHADENITIS.
ANALGESIC TO RELIEVE PAIN.
CONCLUSION
BY ESTABLISHING AN ACIDIC ENVIRONMENT ALONG WITH EAR TOILETING AND ANTIBIOTICS RECURRENT AND SEVERITY OF THE INFECTION CAN BE PREVENTED AND CURED
INTRODUCTION
‘OTITIS EXTERNA “OR ‘SWIMMER’S EAR” OR “TROPICAL ERA”IS A DISEASE PROCESS THAT INVOLVES INFECTION OR INFLAMATION OF EXTERNAL EAR CANAL.IT CAN BE SIMPLE INFECTION OR EVEN LEAD TO NECTROTIZING OTITIS EXTERNA.
SYMPTOMS
SEVERE PAIN LEADS THE PATIENT TO SEEK MEDICAL CARE.
REDNESS OF THE EAR SKIN,ITCHING SENSATION OF THE EAR CANAL AND SCRATING THE EAR CANAL WITH UNSKILLED INSTRUMENTS AFTER SWIMMING CAUSING BREAK IN THE EAR SKIN LINING SETS THE ORGANISMS TO INVADE &LEAD TO SEVERE INFECTION.
RARELY OTITIS EXTERNA IS DUE TO ALLERGY TO EAR DROPS OR SECONDARY TO MIDDLE EAR INFECTION.
EAR OOZING IS ANOTHER COMMON COMPLAINT FROM THE PATIENTS,INITIALLY IT IS THIN SEROUS ,LATER BECOMES THICK,PURULENT, THEN THE EAR MEATUS BECOMES INFLAMED AND SWOLLEN & THERE WILL BE HEARING LOSS.
IN SEVERE CASES ,THE MEATAL SKIN BECOMES STENOSED,REGIONAL LYMPH NODES ARE ENLARGED AND PAINFUL.
CLASSIFICATION
LOCALISED OTITIS EXTERNA
DIFFUSE OTITIS EXTERNA
CAUSES ,SIGNS & SYMPTOMS
COMMON RISK FACTORS WITH OTITIS EXTERNA INCLUDE TRAUMA TO EAR CANAL .DIABETES,HIGH HUMIDITY,LOSS OF CANAL’S PROTECTIVE COATING OF CERUMEN,SWIMMING,USING HEARING AID OR STETHOSCOPE.
SYMPTOMS ARE PAIN,HEARING LOSS,DISCHARGE,ITCHING,TINNITUS.
NECROTISING OTITIS MEDIA IS A SEVERE FORM OF OTITIS EXTERNA SEEN WITH ELDERLY PATIENTS WITH DIABETES COMMON FINDINGS ARE ,PAIN,PURELENT DISCHARGE,GRANULATION OF EXTERNAL CANAL.
DIAGNOSIS IS BASED ON PHYSICAL FINDINGS
COMPLICATIONS USUALLY ARE CANAL STENOSIS,MYRINGITIS,TYMPANIC MEMBRANE PERFORATION,AURICULUM CELLULITIS,PERICHONDRITIS PAROTITIS, AND MALIGNANT OTITIS EXTERNA CAN BE FATAL.
TREATMENT
LOCAL CLEANSING OF DEBRIS,EITHER BY DRY MOPPING.SUCTION CLEARANCE OR IRRIGATION THE EAR CANAL WITH WRAM STERILE SALINE.
MEDICATED WICKS SOAKED WITH ANTIBIOTICS,STENOID PREPARTION IS KEPT IN THE EAR CANAL.GLYCERINE MASULF PAEK REDUCES THE EDEMA DRASTICALLY. ALUMINIUM ACETATE 8% OR SILVER NITRATE 3% ARE MILD ASTRINGENTS USED TO DRY UP OOZING MEATUS.
BROAD SPECTRUM ANTIBIOTICS ARE USED WHEN THERE IS CELLUTITIS OR TENDER LYMPHADENITIS.
ANALGESIC TO RELIEVE PAIN.
CONCLUSION
BY ESTABLISHING AN ACIDIC ENVIRONMENT ALONG WITH EAR TOILETING AND ANTIBIOTICS RECURRENT AND SEVERITY OF THE INFECTION CAN BE PREVENTED AND CURED
Labels: SWIMMING-EAR INFECTIONS
posted by Dr Rajini ENT at 8:49 PM
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