RIZKA GAYO

7112080234

SUPERVISOR :

DR. FAUZIAH HENNY, Sp. THT-KL

 An inflamation of the outer ear and ear canal.

Scratching the ear canal with an object

Water trapped in the ear canal
Humid climate
Elevating the pH
Systemic diseases
 Acute Localized Otitis Externa
Acute Diffuse Otitis Externa
Chronic Otitis Externa
Invasive-malignant Otitis Externa
Otomycosis or Fungal Otitis Externa
Non-infectious Otitis Externa
CLINICAL PRESENTATION
AND
MANAGEMENT
 May occur as pustule or furuncle associated
with hair follicles

Staphylococcus aureus is the most frequent

pathogen

The external canal is erythematous, edematous &

may be filled with pus and flakes of the skin debris

Pain may be severe

Adenopathy

Incision may be necessary to relieve severe

pain
 Occurs mainly in hot humid weather
The ear itches and becomes increasingly painful
The skin of canal edematous and red
Caused by Gram-negative bacili, mainly Psedomonas
Caused by irritation from drainage through a perforated
tympanic membrane

The underlying cause is chronic supportive otitis media

Itching may be severe

Management is directed to middle ear disorder

Rare causes : tuberculosis, syphilis, leprosy etc..

 Is a severe necrotizing infection

Pseudomonas is almost the causative agent

Severe pain and tenderness accompanied by
drainage of pus from the canal
Older, diabetic, immunocompromised, debilitated
patients are at particular risk
May develop serious complication include Skull Base
Ostemyelitis (SBO) and multiple cranial nerve palsies.
 10%
of cases
of otitis externa

The most
common pathogen
is Asphergillus (80-
90%)
Asymptomatic, discomfort,
pruritus, feeling fullness in the
ear, tinnitus

Debris forming : greenish or

blackish fluffy colony
May caused by systemic diseases: atopic dermatitis, psoriasis,
seborrheic dermatitis, acne and lupus erythematosus

Lesions typically occur in external auditory canal

elsewhere on the body, especially the head neck
There is often a family history and a recurrent
course
Manifestations in the external auditory canal can range
from mild erythema

Pruritus is the most common symptom

1. Ear drops, contains :
a. Antibiotics (Fluoroquinolone : Ofloxacin or ciprofloxacine, Aminoglycoside)
b. Antifungal (Clotrimazole)
c. Antiinflamatory (Hydrocortison)
d. Acidifying
2. Gentle cleansing to remove debris, including irrigation
3. Cleansing the ear canal by suctioning
4. Oral or intravenous antibiotics (Ceftazidime, Cefepime or Piperacilin combined with
aminoglycoside: gentamicin or tobramycin, Quinolon: ciprofloxacin)
5. Antifungal oral (Itraconazole)
THANK YOU !!!!