FESSDRRAJINI

OTORRAHAE
INTRODUCTION
30% OF THE PATIENTS PRESENTS WITH DISCHARGING EARS AND 50% OF THEM BELONG TO PAEDIATRIC GROUP .USUALLY COMMON IN RURAL POPULATION DUE TO UNCLEAN HABITS.
CAUSES FOR DISCHARGING EARS.
1.LIQUID LOW VISCOSITY CERUMEN.
2.OTITIS EXTERNA.DUE TO SCRATING,SWIMMING,HEARING AIDS,FOREIGN BODY.
3.MIDDLE EAR INFECTION THAT HAS PERFORATED THE EAR DRUM & DISCHARGES PUS AND DEBRIS.
4.A GROMET(VENTILATION TUBE)THAT HAS BECOME INFECTED.
5.CHROME PERFORATED EARDRUM WHICH HAS BECOME INFECTED.
6.MIDDLE EAR TUMOURS
7 PREVIOUS MASTOID SURGERIES.
8 OTOMYCOSIS(FUNGUS)
THE NATURE OF DISCHARGE PROVIDES THE INFORMATION OF THE ASSOCIATED EAR CONDITION.
NATURE OF DISCHARGE EAR CONDITION
WATERY EZEMA
PUS ACUTE OTITIS EXTERNA
MUCOUS/BLOOD ACUTE OR CHRONIC SUPPURATIVE OTITIS MEDIA OR TUMOR
FOUL SMELLING CHRONIC SUPPURATIVE OTITIS MEDIA WITH CHOLEASTEOTOMA

DIAGNOSIS OF EAR DISCHARGE

ACUTE – PAINFUL,WITH FEVER,ACUTE OTITIS MEDIA WITH RUPTURE
ACUTE-CHRONIC,MUCO PURULENT,CHRONIC OTITIS MEDIA
FETID DISCHARGE,CHOLESTEATOMA,
CLEAR,CSF OTORRHEA.
TREATMENT
CLEANING WITH EAR IS THE INITIAL TREATMENT.
FURUNCLE OF EAR CANAL REQUIRES DRAINAGE UNDER ANAESTHESIA.
EZEMATOUS CONDITION REQUIRES 1% HYDRO CORTISONE CREAM APPLICATION.
IN ACUTE INFECTIOUS ,ANALGESIC AND ANTIBIOTIC ARE PRESCRIBED.
IN CHRONIC EAR INFECTIONS TOPICAL ANTIBIOTICS,STEROIDS EAR DROPS CAN BE GIVEN.
SURGICAL MANAGEMENT IS RECOMMENDED IF THERE IS
RECURRENT EAR DISCHARGE
PATIENTS WHO ARE REGULAR SWIMMERS.
TO PRODUCE HEARING IMPROVEMENT.
COMPLICATION OF DISCHARGING EAR.
COMPLICATION ARE USUALLY WITH CHRONIC EAR INFECTION ASSOCIATED WITH
1 CHOLESTOMA GOING FOR BRAIN ABSCESS,
IMPAIRED CONSCIOUSNESS OR PARALYSIS,DROWSINESS & CONFUSIONS.IF THE INFECTION SPREAD TO INTRA CRANIUM.
2.IF THE INFECTION FROM MIDDLE EAR INVOLVES INNER EAR
THEN LABYRINTHITIS CAUSING NAUSEA,VOMITTING,DIZZINESS 7 HEARING LOSS OCCURS.
3 IF THE FACIAL NERVE IS INVOLVED THEN FACIAL PARALYSIS OCCURS..
4.MASTOID ABSCESS AND PAIN BEHIND THE EARS WITH
SWELLING OCCURS WHEN THERE IS LOCALISED EXACEREBRATION
OF CHRONIC EAR INFECTION.
CONCLUSION:
SIMPLE AND ACUTE EAR INFECTION MUST NOT BE NEGLECTED AND
TREATED IMMEDIATELY TO PREVENT SERIOUS PERMANENT AND FATAL COMPLICATIONS.

Labels: EAR DISCHARGING