Otitis Externa - Explained By Dr. Rajesh Bhardwaj
Otitis externa, also called swimmer’s ear, is inflammation of the ear canal. It often presents with ear pain, swelling of the ear canal, and occasionally decreased hearing.Typically there is pain on movement of the outer ear or on touching the ear.
Otitis externa may be acute (lasting less than six weeks) or chronic (lasting more than three months).
Acute cases are typically due to bacterial infection, and chronic cases are often due to allergies and autoimmune disorders.The most common cause of Otitis externa is bacterial. Risk factors for acute cases include swimming, minor trauma from cleaning, using hearing aids and ear plugs, and other skin problems, such as seborrhoea (dandruff), psoriasis and dermatitis.
People with diabetes are at risk of a severe form of disease called malignant otitis externa. This disease causes progressive destruction of external ear tissues and can spread deep inside the ear. Diagnosis is based on the signs and symptoms.Culturing the ear canal may be useful in chronic or severe cases. Pain is severe and is usually indicative of an active disease. Controlling the blood sugar and giving prolonged appropriate antibiotics is the treatment of choice.
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