Otitis externa history and symptoms

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Otitis externa Microchapters

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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.; Tarek Nafee, M.D. [2]

Overview

Symptoms for all forms of otitis externa include pain, itching, and swelling of the ear canal. Symptoms of chronic, recurrent otitis externa include lack of earwax and buildup of dead skin causing narrowing of the ear canal. Symptoms of malignant necrotizing otitis externa include severe ear pain, facial paralysis, difficulty opening mouth, and difficulty swallowing. History of allergies, aquatic-based occupations, or exposure to sources of immunocompromise such as chemotherapy and diabetes mellitus should be considered in otitis externa patients.

History

A carefully collected history from a patient with otitis externa may include:

Symptoms

Symptoms of acute otitis externa include:[2]

Symptoms of chronic, recurrent otitis externa include:[3]

Symptoms of malignant necrotizing otitis externa include:[4][5]

References

  1. Rosenfeld, R; Brown, L; Cannon, C; Dolor, R; Ganiats, T; Hannley, M; Kokemueller, P; Marcy, S; Roland, P; Shiffman, R (2006). "Clinical practice guideline: Acute otitis externa". Otolaryngology - Head and Neck Surgery. 134 (4): S4–S23. doi:10.1016/j.otohns.2006.02.014. ISSN 0194-5998.
  2. "Otitis externa - Symptoms - NHS Choices".
  3. Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ (2014). "Clinical practice guideline: acute otitis externa". Otolaryngol Head Neck Surg. 150 (1 Suppl): S1–S24. doi:10.1177/0194599813517083. PMID 24491310.
  4. Handzel O, Halperin D (2003). "Necrotizing (malignant) external otitis". Am Fam Physician. 68 (2): 309–12. PMID 12892351.
  5. "Malignant otitis externa: MedlinePlus Medical Encyclopedia".

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