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Boil of the external auditory meatus

Furuncle (otitis externa circumscripta) - acute purulent inflammation of the hair sac, sebaceous gland with limited inflammation of the skin and subcutaneous tissue of the membrano-cartilaginous part of the external auditory canal.

Et and about l about d and I. The disease occurs as a result of infection, more often staphylococci, entering the sebaceous and hair sacs when the contaminated skin is irritated by manipulation of the hairpins and fingers in the ear, especially in people suffering from suppuration from it. Common predisposing factors are colds, metabolic disorders, in particular carbohydrate, malnutrition, vitamin deficiencies, etc.

A boil of the external auditory canal can also be with general furunculosis.

K l and n and with to and to kartin and. The leading symptom of an external ear boil is severe pain. From the ear, it can radiate to the eye, teeth, neck, sometimes diffusely spreads throughout the head. The pain intensifies during talking and chewing due to the fact that the articular head of the lower jaw, shifting, exerts periodic pressure on the walls of the external auditory canal and, therefore, on the area of ​​inflamed skin. Sharp soreness occurs when pressure is applied to the tragus and the lower wall of the ear canal, when the auricle is pulled back. The basis of this soreness is the same mechanism as with the appearance of pain at the time of conversation or chewing. With otoscopy, a rounded elevation of hyperemic inflamed skin, narrowing the lumen of the ear canal, is visible. Sometimes you can see several boils. The introduction of an ear funnel is extremely difficult due to swelling and pain. Infiltration of the skin often spreads to the soft tissues surrounding the auricle, to the mastoid process. Regional parotid lymph nodes enlarge, become dense and painful on palpation. When the boil is located on the front or lower walls in the area of ​​the santorinium cracks, the infection can go to the parotid gland and cause its inflammation.

The body temperature in a patient with a boil depends on intoxication, it is often possible to observe a sharp increase and chills, large changes in body temperature (1-2 degrees) indicate the development of sepsis. The boil of the outer ear often spontaneously opens after maturation. At this point, the patient notes the disappearance of pain, health gradually improves. The average duration of the disease is 7 days, but relapses are possible.

D and a gnostics is based on anamnesis, complaints, examination results (pain when pressing on a tragus, chewing, etc.).
Often a boil can be seen without the aid of tools, if it is localized at the entrance to the ear canal; in other cases, inspection is performed using a narrow ear funnel. At the beginning of the disease, a translucent rod is noticeable, and after emptying, you can see a crater-like depression on the swelling, from which pus is released.

In the differential diagnostic plan, mastoiditis should be excluded. With a boil of the outer ear, in contrast to mastoiditis, swelling and pain will be expressed primarily in the area of ​​attachment of the auricle, with mastoiditis, hearing and pain in the area of ​​the mastoid are reduced. With a boil, the eardrum is normal and the hearing does not change.

In terms of a general examination of the patient, it is necessary to study blood and urine for sugar content and sterility (recurrence of the boil is often associated with diabetes).

Treatment In the early days of the disease, antibacterial drugs are used (augmentin, rulide, streptocide, erythromycin or tetracycline by mouth; in severe cases, penicillin is prescribed by injection, 1 LLC ED 4-6 times a day, etc.). Turunda impregnated with boric alcohol is introduced into the external auditory meatus. Such turundas have a local anti-inflammatory effect. In some cases, especially when the process subsides, streptocide, penicillin or 1% chloramphenicol emulsion is used. Antipyretic and analgesics are prescribed - acetylsalicylic acid, analgin, paracetamol, tylenol, etc. Autohemotherapy is sometimes used (2-3 intramuscular injections of blood taken from a vein in an amount of 7-10 ml, with an interval of 48 hours).

In those cases when the boil has matured (usually on the 4th day of the disease), the pain has intensified or there is a danger of suppuration of the lymph nodes, the boil should be opened. The incision is made under short-term anesthesia or local anesthesia at the site of the greatest bulging of the boil, then the rod and pus are removed, and the resulting cavity is treated with 5% iodine tincture. The auditory meatus is drained and then a turunda is moistened with alcohol or a hypertonic solution to drain 2 times a day.

General strengthening treatment is important, however, when prescribing therapeutic agents and procedures, examination data from other organs and systems should be taken into account. General anti-inflammatory treatment involves the use of antibiotics, sulfonamides, auto vaccines and staphylococcal toxoid, a complex of vitamins.
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Boil of the external auditory meatus

  1. Auditory meatus furuncle
    Cause Microtrauma of the skin of the external auditory canal when picking in the ears, hypothermia, impaired carbohydrate metabolism, hypovitaminosis. Symptoms Strong shooting pain in the ear, if you pull off the earlobe or press on the tragus - the pain in the ear increases. Increased pain also occurs with chewing and yawning. The skin of the external auditory meatus is reddened, swollen. The disease may be accompanied.
  2. Foreign bodies of the external auditory meatus
    Foreign bodies in the external auditory canal are most often found in children when during the game they push various small objects (buttons, balls, pebbles, peas, beans, paper, etc.) into their ears. However, in adults, foreign bodies are often found in the external auditory canal. They may be fragments of matches, pieces of cotton, stuck in the ear canal at the time of clearing the ear from
  3. Atresia and strictures of the external auditory meatus
    Ruby atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis media complicated by external otitis media, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after radical ear surgery. In the elderly and senile age, the walls of the ear canal collapse due to the loss of their elasticity, which leads to
  4. Spilled inflammation of the external auditory meatus
    External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious diffuse inflammation of the skin of the external auditory canal. It occurs as a result of the penetration of infection through minor traumatic skin lesions that occur most often during manipulations in the ear. In addition, skin injuries due to chemical and thermal burns or injuries contribute to
  5. External auditory canal flushing
    Purpose: removal of the contents of the external auditory meatus. Equipment: Janet syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions Obtain patient consent for rinsing, explaining to him the purpose and course of the procedure. Set the patient sideways to himself. Wear gloves. Put a towel on the patient’s shoulder, oilcloth on top
  6. External auditory canal exostoses
    Exostoses are bone formations resulting from osteodystrophic processes of the temporal bone. Some attribute them to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obstruction of the ear canal appears ear noise, hearing loss, the process of excretion of sulfur or pus with otitis media is disrupted. Observed two
  7. External auditory canal cleansing
    Purpose To clean the ears of the patient. Indications Inability to self-service. Contraindications None. Possible complications When using hard objects, damage to the eardrum or external auditory canal. Equipment 1. Wadded turunds. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  8. Sulfur cork of the external auditory meatus
    Blockage of the external auditory canal with sulfur or with an admixture of the epidermis is a common occurrence. Under normal conditions, the secretion of the sulfur glands, drying up into lumps and crusts, falls out when chewing and talking due to movements of the mandibular joint and the anterior wall of the ear canal. Excessive sulfur accumulation may be associated with hyperfunction of the sulfur glands under the influence of irritating
  9. Acquired stenosis of the external auditory meatus. H-61.3
    {foto46} Treatment outcome: Clinical criteria for improving the patient's condition: 1. Normalization of laboratory parameters. 2. Improving the clinical symptoms of the disease (lowering
  10. Auditory canal eczema
    Cause Frequent local irritation of the skin of the ear canal with general eczema. Predisposing factor for eczema of the auditory canal is suppuration from the ear in chronic suppurative otitis media, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and incorrect use of ointments and lotions. Symptoms of Itching. He can be so
  11. Diseases of the auditory nerve, pathways and auditory centers in the brain
    Lesions of the conduction department of the auditory analyzer can occur on any part of it. The most common are diseases of the first neuron, united in a group called the auditory nerve neuritis. This name is somewhat arbitrary, since this group includes not only diseases of the auditory nerve trunk, but also lesions of nerve cells that make up
  12. Boils
    The clinical picture of the boils of the external auditory canal The furuncle of the external auditory canal is a limited inflammation in the cartilaginous part of the external auditory canal. With minor skin damage, the infection enters the hair sacs and sebaceous glands, where inflammation begins. There is a sharp pain in the ear, often giving to the teeth, worse when chewing, sharp pain with
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