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Otitis externa, also called swimmer's ear, [1] is inflammation of the ear canal. [2] It often presents with ear pain , swelling of the ear canal, and occasionally decreased hearing . [ 2 ] Typically there is pain with movement of the outer ear . [ 3 ]
The most common aetiology of acute otitis externa is bacterial infection, [5] while chronic cases are often associated with underlying skin diseases such as eczema or psoriasis. [6] A third form, malignant otitis externa, or necrotising otitis externa, is a potentially life-threatening, invasive infection of the external auditory canal and ...
Otomycosis does not usually cause as much canal skin edema as does acute bacterial external otitis.While a severe pressure type of pain is a prominent feature of advanced cases, the ear is usually much less tender, if at all, to traction or tragal pressure.
Malignant otitis externa is a rare and potentially life-threatening complication of otitis externa in which the infection spreads from the ear canal into the surrounding skull base, hence becoming an osteomyelitis. [16] It occurs largely in diabetic patients. [20]
As the eardrum is the border between the external ear canal and the middle ear, its characteristics can indicate various diseases of the middle ear space. [ citation needed ] Otoscopic examination can help diagnose conditions such as acute otitis media (infection of the middle ear), otitis externa (infection of the outer ear ), [ citation ...
Clinically, patients experience aural fullness, intra-meatal itching, and malodorous otorrhea all at the same time. Although granular myringitis does not typically result in a hearing loss, it can cause complications like inflammatory infiltration of the deep canal, canal atresia or stenosis, and post-inflammatory medial canal fibrosis.
Poulter, Melinda D., and Claudia J. Hinnebusch. "Turicella otitidis in a young adult with otitis externa." Infectious Diseases in Clinical Practice 13.1 (2005): 31–32. Gomez-Garces JL, Alhambra A, Alos JI, Barrera B, García G (2004). "Acute and chronic otitis media and Turicella otitidis: a controversial association". Clin Microbiol Infect.
Other more common conditions (e.g. otitis externa) may also present with these symptoms, but cholesteatoma is much more serious and should not be overlooked.If a patient presents to a doctor with ear discharge and hearing loss, the doctor should consider cholesteatoma until the disease is definitely excluded. [4]