Otitis externa classification: Difference between revisions
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==Classification== | ==Classification== | ||
Otitis externa can be classified into acute and chronic forms. | Otitis externa can be classified into acute and chronic forms. | ||
===Acute Otitis Externa=== | ===Acute Otitis Externa=== | ||
Acute otitis externa is predominantly a microbial infection, occurs rather suddenly, rapidly worsens, and becomes very painful and alarming. The ear canal has an abundant nerve supply, so the pain is often severe enough to interfere with sleep. Wax in the ear can combine with the swelling of the canal skin and any associated pus to block the canal and dampen hearing to varying degrees, creating a temporary conductive hearing loss. In more severe or untreated cases, the infection can spread to the soft | Acute otitis externa is predominantly a microbial infection, occurs rather suddenly, rapidly worsens, and becomes very painful and alarming. The ear canal has an abundant nerve supply, so the [[pain]] is often severe enough to interfere with sleep. Wax in the ear can combine with the [[swelling]] of the canal skin and any associated pus to block the canal and dampen hearing to varying degrees, creating a temporary [[conductive hearing loss]]. In more severe or untreated cases, the infection can spread to the [[soft tissue]]s of the face that surround the adjacent [[parotid gland]] and the jaw joint, making chewing painful. In its mildest forms, external otitis is so common that some ear, nose and throat physicians have suggested that most people will have at least a brief episode at some point in life. While a small percentage of people seem to have an innate tendency toward chronic external otitis, most people can avoid external otitis altogether once they understand the mechanisms of the disease. | ||
===Chronic Otitis Externa=== | ===Chronic Otitis Externa=== | ||
Chronic otitis externa is a low-grade disease, usually non-microbial and purely on the basis of chronic dermatitis or irritation from | Chronic otitis externa is a low-grade disease, usually non-microbial and purely on the basis of chronic [[dermatitis]] or irritation from cleaning the canal, often with cotton swabs. It can be thought of as chronic [[dermatitis]] of the ear canal skin and may or may not be painful. There may only be seepage, mild [[swelling]], or [[itching]]. | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:Primary care]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Revision as of 14:27, 11 April 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Classification
Otitis externa can be classified into acute and chronic forms.
Acute Otitis Externa
Acute otitis externa is predominantly a microbial infection, occurs rather suddenly, rapidly worsens, and becomes very painful and alarming. The ear canal has an abundant nerve supply, so the pain is often severe enough to interfere with sleep. Wax in the ear can combine with the swelling of the canal skin and any associated pus to block the canal and dampen hearing to varying degrees, creating a temporary conductive hearing loss. In more severe or untreated cases, the infection can spread to the soft tissues of the face that surround the adjacent parotid gland and the jaw joint, making chewing painful. In its mildest forms, external otitis is so common that some ear, nose and throat physicians have suggested that most people will have at least a brief episode at some point in life. While a small percentage of people seem to have an innate tendency toward chronic external otitis, most people can avoid external otitis altogether once they understand the mechanisms of the disease.
Chronic Otitis Externa
Chronic otitis externa is a low-grade disease, usually non-microbial and purely on the basis of chronic dermatitis or irritation from cleaning the canal, often with cotton swabs. It can be thought of as chronic dermatitis of the ear canal skin and may or may not be painful. There may only be seepage, mild swelling, or itching.