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Disorders Friday!!!!

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!!!!

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  1. Disorders Friday!!!! Or Fear & Loathing in the Outer Ear

  2. 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

  3. 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

  4. 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

  5. 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)

  6. 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

  7. 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

  8. 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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