Sandbox:Otitis externa classification: Difference between revisions
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*Treatment of chronic otitis externa resolves around treating the underlying condition, including [[corticosteroid]] therapy for dermatological conditions and topical anti-[[fungal]] medications for [[otomycosis]].<ref>{{cite journal |author=Yaganeh Moghadam A, Asadi MA, Dehghani R, Zarei Mahmoudabadi A, Rayegan F, Hooshyar H, Khorshidi A |title=Evaluating the effect of a mixture of alcohol and acetic acid for otomycosis therapy |journal=Jundishapur J Microbiol |volume=3 |issue=2 |pages=66–70 |year=2010 |url=http://jjm.ajums.ac.ir/_jjm/documents/Issue%207MA.pdf |format=PDF}}</ref> | *Treatment of chronic otitis externa resolves around treating the underlying condition, including [[corticosteroid]] therapy for dermatological conditions and topical anti-[[fungal]] medications for [[otomycosis]].<ref>{{cite journal |author=Yaganeh Moghadam A, Asadi MA, Dehghani R, Zarei Mahmoudabadi A, Rayegan F, Hooshyar H, Khorshidi A |title=Evaluating the effect of a mixture of alcohol and acetic acid for otomycosis therapy |journal=Jundishapur J Microbiol |volume=3 |issue=2 |pages=66–70 |year=2010 |url=http://jjm.ajums.ac.ir/_jjm/documents/Issue%207MA.pdf |format=PDF}}</ref> | ||
===Malignant Necrotizing Otitis Externa=== | |||
==References== | ==References== | ||
Revision as of 19:01, 4 May 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Luke Rusowicz-Orazem, B.S.
Overview
Classification
Otitis externa is classified by duration, diffusion, and symptom severity.
Acute Otitis Externa
- Otitis externa is characterized as "acute" if the following conditions are satisfied:[1]
- Hearing loss is not usually associated with acute presentations of otitis externa.[1]
- Acute otitis externa is treated with topical or systemic antibiotics for 7-10 days.
- Clinical response will usually be seen within 48-72 hours; full symptom resolution is usually achieved within 14 days.
- Acute otitis externa is localized to the ear canal and is not characterized by diffusion of infection throughout the ear and head.
Chronic Otitis Externa
- Otitis externa is considered chronic for cases that persist greater than 3 months with treatment.[1]
- Usually, it is diagnosed for cases in which antibiotic therapy does not alleviate symptoms.
- Chronic otitis externa is primarily caused by the following:
- Otomycosis, particularly by Candida albicans and Aspergillus niger
- Allergic rhinitis
- Underlying dermatoses:
- Symptoms of chronic otitis externa are predominantly itching, due to the presence of dermatalogical condition or fungal debris.
- Otorrhea is more common in chronic otitis externa than the acute presentation.
- Treatment of chronic otitis externa resolves around treating the underlying condition, including corticosteroid therapy for dermatological conditions and topical anti-fungal medications for otomycosis.[3]
Malignant Necrotizing Otitis Externa
References
- ↑ 1.0 1.1 1.2 1.3 Hui CP (2013). "Acute otitis externa". Paediatr Child Health. 18 (2): 96–101. PMC 3567906. PMID 24421666.
- ↑ Schaefer P, Baugh RF (2012). "Acute otitis externa: an update". Am Fam Physician. 86 (11): 1055–61. PMID 23198673.
- ↑ Yaganeh Moghadam A, Asadi MA, Dehghani R, Zarei Mahmoudabadi A, Rayegan F, Hooshyar H, Khorshidi A (2010). "Evaluating the effect of a mixture of alcohol and acetic acid for otomycosis therapy" (PDF). Jundishapur J Microbiol. 3 (2): 66–70.