Severe audiovestibular loss following ear syringing for wax removal

2001 ◽  
Vol 115 (5) ◽  
pp. 410-411 ◽  
Author(s):  
Urmi Bapat ◽  
Jon Nia ◽  
Manohar Bance
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Vestibular Loss ◽  
Wax Removal

Syringing of the ear is one of the commonest procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss are often mentioned as a complication in descriptions of this technique, but we have not been able to find a reported case of such an occurrence. We report one such a case.

Facial nerve palsy as a complication of ear syringing

2012 ◽  
Vol 126 (7) ◽  
pp. 714-716 ◽  
Author(s):  
A M Thomas ◽  
B Poojary ◽  
H C Badaridatta
Keyword(s):  
Facial Nerve ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Nerve Palsy ◽  
Surgical Intervention ◽  
Facial Nerve Palsy ◽  
Unusual Complication ◽  
Vestibular Loss ◽  
Case Presentation ◽  
Dramatic Presentation

AbstractIntroduction:Syringing of the ear is one of the most common procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss have also been reported as complications. However, we are unaware of any report of facial nerve palsy as a complication of ear syringing. Such a case is reported.Case presentation:We describe a case of facial nerve palsy as a complication of syringing, which demonstrates the dramatic presentation of this condition and emphasises the need for great care while syringing the ears.Conclusion:It is important to be aware of this unusual complication with its distinctive presentation. Surgical intervention should be undertaken at the earliest opportunity, for favourable results. A risk-minimising strategy for ear syringing is recommended.

The Difference of External Auditory Canal pH in 3 Groups of Otitis Externa

2012 ◽  
Vol 55 (10) ◽  
pp. 628
Author(s):  
Hong Jun Kim ◽  
Kyung Jin Roh ◽  
Ki Hoon Choi ◽  
Seung Hwan Noh ◽  
Joo Hyun Kim ◽  
...  
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
The Difference

Is the Acidic pH of the External Auditory Canal Playing a Significant Role in the Treatment of Acute Otitis Externa?

2018 ◽  
Vol 69 (8) ◽  
pp. 2304-2305
Author(s):  
Oana Ruxandra Iana ◽  
Dragos Cristian Stefanescu ◽  
Viorel Zainea ◽  
Razvan Hainarosie
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Proton Pumps ◽  
Acidic Ph ◽  
External Ear ◽  
Ph Values ◽  
The World ◽  
Subcutaneous Tissues ◽  
Low Levels ◽  
Value Changes

Variable pH values for skin have been reported in the literature, all within the acidic range, varying from 4.0 up to 7. 0. The origin of the acidic pH remains conjectural, and several factors have been incriminated with this role, such as eccrine and sebaceous secretions as well as proton pumps. Keeping low levels of pH prevents microbial dispersal as well as multiplication. The skin in the external auditory canal is also covered with this acidic mantle with antimicrobial value. Changes of pH in the external ear can lead to acute otitis externa. This condition is defined by the inflammation and infection of the cutaneous and subcutaneous tissues of the external auditory canal. 10% of the world�s population may suffer from acute otitis externa at least once in their lifetime. This paper aims to consolidate the relevance of an acidic pH in the healthy external ear and its relation to the pathogenesis and treatment of otitis externa through a prospective and interventional clinical study on 80 patients who presented to the outpatient department at Prof. Dr D. Hociota ENT Institute in Buch

scholarly journals Features of external auditory canal anatomy

2021 ◽  
Vol 20 (1) ◽  
pp. 72-77
Author(s):  
I. A. Anikin ◽  
◽  
S. A. Eremin ◽  
A. E. Shinkareva ◽  
S. I. Sitnikov ◽  
...  
Keyword(s):  
Auditory System ◽  
Sound Wave ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
External Ear ◽  
Tympanic Cavity ◽  
Ear Canal ◽  
Ear Diseases ◽  
Clinical Observations ◽  
The Relationship

The external auditory canal is not only a part of the external ear, but also an integral part of the human auditory system, which conducts and amplifies the sound wave. In the field of otosurgery, it is often the priority access to the tympanic cavity, and therefore it is necessary to clearly understand the features of its anatomy. The dimensions and anatomy of the external auditory canal are extremely variable: the length is 2–3,5 cm, the diameter ranges from 5-9 mm, it is somewhat curved in the horizontal and frontal planes and consists of a membranous cartilaginous part and a bony part, between which there is the most the bottleneck – the isthmus. The ear canal is covered with skin, the thickness and structure of which depends on the section of the ear canal. The membranous cartilaginous section contains sebaceous and sulfur glands. Studies identify several forms of the bony part of the ear canal: conical, hourglass-shaped, ovoid, reverse conical, and cylindrical. The endoscopic scale (CES) for the visibility of the tympanic membrane was also proposed for the convenience of assessment. It has been suggested that the shape of the external auditory canal is an etiological factor in chronic otitis externa. Unambiguous interpretations of the relationship between ear diseases and the shape of the external auditory canal have not yet been obtained, but modern developments tend to consider its importance in the development of ear diseases. Clinical observations show that certain anatomical forms of it may be involved in the pathogenesis of chronic inflammation, since they interfere with proper self-cleaning.

Comparison of clinical outcomes of three different packing materials in the treatment of severe acute otitis externa

2018 ◽  
Vol 132 (06) ◽  
pp. 523-528
Author(s):  
D Demir ◽  
M S Yılmaz ◽  
M Güven ◽  
A Kara ◽  
H Elden ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Polyurethane Foam ◽  
Clinical Efficacy ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Signs And Symptoms ◽  
The Other ◽  
Pairwise Comparisons ◽  
Packing Materials

AbstractObjectiveTo analyse the clinical outcomes of biodegradable synthetic polyurethane foam versus ribbon gauze and ear wick in the treatment of severe acute otitis externa.MethodsNinety-two adults with severe acute otitis externa were randomly assigned to groups receiving ear wick (n= 28), ribbon gauze (n= 34) or biodegradable synthetic polyurethane foam (n= 30). Clinical efficacy, in terms of otalgia, oedema, erythema and tenderness of the external auditory canal, was assessed before packing was applied and at follow up on the 3rd and 7th days of presentation.ResultsAll packing materials were associated with improved otalgia and oedema on the 3rd day; however, there were significant differences between biodegradable synthetic polyurethane foam and the other packing materials, and there was no significant reduction in tenderness in the biodegradable synthetic polyurethane foam group on the 3rd day. In the ribbon gauze and ear wick groups, improvements in all clinical efficacy scores were statistically significant for all pairwise comparisons.ConclusionThe three packing materials were all quite effective in treating severe acute otitis externa, but ear wick and ribbon gauze were superior to biodegradable synthetic polyurethane foam for relieving signs and symptoms, especially on the 3rd day.

External auditory canal paraganglioma: an atypical presentation

2012 ◽  
Vol 126 (12) ◽  
pp. 1278-1280 ◽  
Author(s):  
N Grover ◽  
F Amen ◽  
A Gallimore ◽  
G Brookes
Keyword(s):  
Clinical Diagnosis ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Clinical Presentation ◽  
External Ear ◽  
Computed Tomography Scan ◽  
Low Threshold ◽  
Atypical Presentations ◽  
Superior Portion ◽  
Tomography Scan

AbstractObjective:We present the first published description of a painful paraganglioma of the external auditory canal. Atypical histopathology made the diagnosis difficult. We discuss the potential pitfalls of clinical diagnosis and treatment of such a case.Clinical presentation:A 49-year-old woman presented with left-sided otalgia, hearing loss and tinnitus. Physical examination revealed a firm swelling arising from the superior portion of the left external auditory canal. A clinical diagnosis of otitis externa was made.Intervention:There was minimal response to medical treatment. The swelling was aspirated, leading to brisk bleeding. A tumour was suspected from the computed tomography scan, and confirmed by a biopsy. The patient underwent excision of the paraganglioma. The histopathology was atypical, making diagnosis difficult.Conclusion:Such unusual masses of the external ear should always be borne in mind, especially when dealing with atypical presentations of commonly encountered diseases. Clinicians should have a low threshold for early intervention with imaging and biopsy.

scholarly journals Synchronous Malignant Otitis Externa and Squamous Cell Carcinoma of the External Auditory Canal

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
R. Y. Chin ◽  
T. B. V. Nguyen
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
External Auditory Canal ◽  
Otitis Externa ◽  
Concomitant Treatment ◽  
The Third ◽  
Intravenous Antibiotics ◽  
Malignant Otitis Externa ◽  
Synchronous Tumour

Objectives. To discuss the management of a squamous cell carcinoma in the presence of malignant otitis externa.Study Design. We present only the third reported case in the literature of a synchronous tumour with malignant otitis externa in the literature.Methods. A case report and review of malignant otitis externa and squamous cell carcinomas of the external auditory canal are discussed.Results. A 66-year-old female is presented here with a 2-month history of a painful, discharging left ear refractory to standard antibiotic therapy. Computerised tomography, magnetic resonance imaging, technetium 99 m, and gallium citrate Ga67 scans were consistent with malignant otitis externa. Biopsy in the operating theatre revealed a synchronous squamous cell carcinoma of the external auditory canal. Primary resection of the tumour and surrounding tissues was performed with concomitant treatment with intravenous antibiotics.Conclusions. This is only the third case to be reported in the literature and highlights several important diagnostic and management issues of these two rare conditions. Both conditions may present in a similar manner on clinical assessment and radiological investigations. Aggressive management with surgical resection and treatment with appropriate intravenous antibiotics is necessary to give the best chance for cure.

scholarly journals Ceruminous adenoma mimicking otitis externa

2018 ◽  
Vol 6 ◽  
pp. 2050313X1877714 ◽  
Author(s):  
Uzdan Uz ◽  
Ayca Tan ◽  
Onur Celik
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Rare Condition ◽  
Ear Canal ◽  
Ceruminous Adenoma ◽  
The Right ◽  
Disease Free

Ceruminous adenoma is an extremely rare condition that arises in the external auditory canal. The right ear canal in a 32-year-old man was obstructed by a ceruminous adenoma mimicking otitis externa and its symptoms. The lesion was resected under microscopic view using a transcanal approach. There were no tumor-related symptoms postoperatively and he has been disease free for 1 year after surgery.

Dysphagia due to necrotizing otitis externa

2021 ◽  
Author(s):  
Rajesh Dwivedi ◽  
Melroy Rasquinha ◽  
Rowan Harwood
Keyword(s):  
External Auditory Canal ◽  
Otitis Externa ◽  
Sinus Thrombosis ◽  
Oropharyngeal Dysphagia ◽  
Lower Cranial Nerve ◽  
Venous Sinus Thrombosis ◽  
Necrotizing Otitis Externa ◽  
Intravenous Antibiotics ◽  
Patient Reported ◽  
High Index Of Suspicion

Abstract An 88-year-old man presented with delirium, and subsequently developed hoarseness and oropharyngeal dysphagia. This was due to skull-based osteomyelitis from necrotizing otitis externa (NOE), causing lower cranial nerve (X, XII) palsies and venous sinus thrombosis. Diagnosis was delayed as the patient reported no otalgia, had an almost normal looking external auditory canal and was not diabetic. He deteriorated and died despite intravenous antibiotics. We need a high index of suspicion for NOE and its complications in patients presenting with otolaryngeal symptoms.

Sign in / Sign up

Export Citation Format

Share Document