Otitis Externa Flashcards
How does otitis externa present?
Watery discharge
Itching
Pain and tragal tenderness
What can cause otitis externa?
Moisture, e.g. swimming
Trauma. e.g. fingernails
Absence of wac
Hearing aid
What organisms cause otitis externa?
Mainly pseudomonas
S. aureus
How is otitis externa managed?
Aural toilet with drops
What are the options for drops used in otitis externa?
Bethamethasone
Betamethasone with neomycin
Hydrocortisone with gentamicin
Acidifying drops
When are bethamethasone drops used in otitis externa?
For non-infected eczematous OE
What is malignant otitis externa?
A life-threatening infection which can lead to skull osteomyelitis
What % of patients with malignant otitis externa are diabetic, or otherwise immunocompromised?
90%
How does malignant otitis externa present?
Severe otalgia which is worse at night
Copious otorrhoea
Granulation tissue in the canal
How is malignant otitis externa managed?
Surgical debridement
Systemic Abx