Outside otitis

Outside otitis (external otitis) – an infectious and inflammatory disease of the external ear channel. This disease develops as a result of damage or removal of a superficial blanket of the ear course.

Kinds of outside otitis

External otitis can develop in an acute and diffusion form. Acute outside otitis arises at implementation of an infection in the sebaceous glands and hair follicles located in fibrocartilage department of outside acoustical pass.

Acute outside otitis shares on primary and secondary. Primary otitis develops at infection of any disturbances of integrity of skin of outside acoustical pass. Secondary acute otitis develops as a result of burns of a chemical and thermal origin. Staphylococcus, colibacilli, klebsiyella can be of proteas an etiological etiology.

Diffuse (diffusion) external otitis most often develops at purulent average otitis in a chronic form as a result of implementation in a hypodermic fatty tissue of acoustical pass of various mushrooms and bacteria.

Very seldom the dangerous complication – malignant external otitis can develop. This complication results from spread of a bacterial infection on the bones located around the ear channel from where bacteria get to structures of a base of skull. This type of outside otitis most often develops at a diabetes mellitus, at HIV infection, at the weakened immune system.

Inflammatory reactions in acoustical pass and the sink can be shown in the form of dermatitis, eczema, a perichondritis, an othematoma or furuncles.

Eczema can arise behind an auricle, on skin around acoustical pass. Usually eczemas arise at first outside, and then pass in an auricle. Eczema at acute outside otitis affects all surface of an outside ear. At a perichondritis inflammatory process extends on skin, and also takes a cartilage and a nadkhryashchnitsa. At an infection rating the auricle can increase because of a swelling and hypostasis. At an othematoma the auricle is deformed as a result of a bruise or blow by a blunt object to the area of an ear. Quite often the othematoma arises at the paralyzed people. An essence of a disease is hemorrhage between a cartilage and a nadkhryashchnitsa. Furuncles in an outside ear can arise at hit of staphylococcus in skin indumentum during the combing, use of various objects for combing of an ear. At an otomikomiza acoustical pass is surprised a fungal infection. At hit of a fungus in an ear the itch is felt, the upper layer of skin of an ear exfoliates.

Reasons of outside otitis

Carry to the reasons of infection and an inflammation of skin of the ear channel skin diseases (psoriasis, eczema, seborrhea), allergies, bone outgrowths of the channel of an ear. External otitis can develop at long carrying earphones, at emergence of scratches of an integument of the ear course from pencils, ear sticks, nails, hairpins, at excessive sweating, and also at influence of shampoo, soap, bath foam.

Carry a diabetes mellitus, chemotherapy, organ transplantation, AIDS, work in the wet and hot room to risk factors of development of outside otitis, swimming, irrational use of ear drops.

Symptoms of outside otitis

Refer green or dark gray allocations from the ear channel to symptoms of outside otitis, deterioration in hearing, ear pain. Pain usually amplifies at procrastination of a lobe of an ear, when pressing on a cartilaginous ledge before an auricle. At outside otitis hypostasis and erubescence of the ear course, an itch in an ear develops. Very often at this disease lymph nodes increase, body temperature increases, and on the side surface of skin round painful education appears.

Most often symptoms of outside otitis at the correct treatment gradually weaken and disappear.

Treatment of outside otitis

At suspicion of external otitis in house conditions it is possible to try to wash out accurately the ear course warm saline solution or mix of water and white vinegar. For removal of an itch it is possible to use OTC medicines (the Ibuprofen, Naproxenum, Acetaminophen).

If ear pain amplified, the integument of the ear channel swelled, reddened and hurts, and allocations from an ear have an unpleasant smell, then it is necessary to address the specialist urgently. The policlinic in vitro will define the activator which caused an inflammation and will appoint treatment.

At bacterial outside otitises apply the ointments and antiseptic solutions containing corticosteroids and antibiotics. At fungal outside otitises apply ointments and antifungal solutions.

Treatment of outside otitis at the child

At outside otitis the child becomes whining, whimsical. He sleeps badly and complains of ear pain.

At otitis the child needs to provide good nutrition and absolute rest. It is recommended to give to the child polyvitamins for immunity strengthening.

For treatment of outside otitis at the child the otolaryngologist usually prescribes 3% alcohol or a levomitsetinovy and siptomitsinovy emulsion. The gauze turundas impregnated with alcohol or an emulsion put in acoustical pass. In the started disease stage the doctor can appoint sulfanamide drugs and antibiotics.