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Boils of the ear canal

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

This and about l about g and I. The disease occurs as a result of the penetration of infection, often staphylococci, into the sebaceous and hair follicles during irritation of contaminated skin by manipulations in the ear with pins, fingers, especially in persons suffering from suppuration from it. Common predisposing factors are colds, metabolic disorders, in particular carbohydrate, malnutrition, vitamin deficiency, etc.

The furuncle of the external auditory canal can also be with general furunculosis.

K l and N and c e to and I to and r t and N and. The leading symptom of a furuncle of the outer ear is severe pain. From the ear, it can radiate to the eye, teeth, neck, sometimes diffusely spreads over the entire head. The pain intensifies when talking and chewing due to the fact that the articular head of the lower jaw, shifting, exerts a periodic pressure on the walls of the external auditory canal and, consequently, on the area of ​​inflamed skin. Sharp pain occurs when pressure is applied to the nipples and the lower wall of the auditory canal, with the otgagivaniem shell. The basis of this pain is the same mechanism as in the appearance of pain at the time of talking or chewing. Otoscopy shows a rounded elevation of the hyperemic, inflamed skin, narrowing the lumen of the auditory canal. Sometimes you can see several boils. The introduction of the 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. The regional parotid lymph nodes become enlarged, dense and painful on palpation. At the location of the boil on the front or lower walls in the region of the Santorini crevices, the infection can pass to the parotid gland and cause its inflammation.

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

D and gnok with t and to and is based on data of the anamnesis, complaints, results of inspection (soreness when pressing on a trestle, chewing, etc.).
Often a boil can be seen without the aid of tools if it is localized at the entrance to the auditory canal; in other cases, the 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 in the swelling, from which pus is secreted.

In the differential diagnostic plan, mastoiditis should be excluded. When the outer ear is boiled, unlike mastoiditis, the swelling and soreness will be expressed primarily in the region of the pinna attachment, with the mastoiditis, hearing and pain in the mastoid process are reduced. With a furuncle, the eardrum is normal and the hearing does not change.

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

LETTER In the first days of the disease, antibacterial drugs are used (augmentin, rulid, streptocid, erythromycin or tetracycline orally; in severe cases, penicillin is prescribed in injections, 1 OOO LLC IU 4-6 times a day, etc.). A turunda soaked in boric alcohol is injected into the external auditory meatus. Such turunda have a local anti-inflammatory effect. In some cases, especially when relieving the process, a streptocidal, penicillin or 1% levomycetin emulsion is used. Assign antipyretic and analgesic agents - acetylsalicylic acid, analgin, paracetamol, tylenol, etc. Autohemotherapy is sometimes used (2–3 intramuscular injections of blood taken from a vein in the amount of 7–10 ml, with an interval of 48 hours).

In cases where the boil is ripe (usually on the 4th day of the disease), the pain syndrome has increased, or there is a danger of lymph node suppuration, the boil should be opened. An incision is made under short-term anesthesia or local anesthesia at the site of the most bulging boils, then the core and pus are removed, and the cavity is treated with 5% iodine tincture. The ear canal is dried and then a turunda moistened with alcohol or a hypertonic solution is injected to drain 2 times a day.

General restorative treatment is important, but when prescribing therapeutics and procedures, these examinations of other organs and systems should be taken into account. General anti-inflammatory treatment involves the use of antibiotics, sulfonamides, autovaccine and staphylococcal toxoid, a complex of vitamins.
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Boils of the ear canal

  1. Auditory canal furuncle
    The cause of microtrauma to the skin of the ear canal when picking in the ears, hypothermia, carbohydrate metabolism, hypovitaminosis. Symptoms Severe shooting pain in the ear, if you delay the earlobe or click on the trestle - the pain in the ear increases. Increased pain also occurs when chewing and yawning. The skin of the external auditory canal is reddened, swollen. The disease may be accompanied
  2. Foreign body of the external auditory canal
    Foreign bodies in the external auditory canal are most often found in children when, during a 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 can be fragments of matches, pieces of cotton stuck in the ear canal at the time of cleaning the ear from
  3. Atresia and stricture of the external auditory canal
    Rubric atresia and strictures of the external auditory canal occur after injuries, burns, purulent otitis, complicated by external otitis, ulcerative processes in diphtheria, syphilis, lupus, etc. Narrowing of the external auditory canal is sometimes observed after a radical ear operation. In the elderly and senile age, there is a collapse of the walls of the ear canal due to the loss of their elasticity, which leads to
  4. Spilled inflammation of the ear canal
    External diffuse omum (otitis exterra diffusa) is an acute or chronic infectious spilled inflammation of the skin of the external auditory canal. Occurs as a result of the penetration of infection through minor traumatic skin lesions, most often formed during manipulations in the ear. In addition, skin damage from chemical and thermal burns or injuries contributes to
  5. Washing the external auditory canal
    Purpose: removal of the contents of the ear canal. Equipment: Janet's syringe, 2 kidney-shaped trays, towel, oilcloth apron, cotton balls, medicines. gloves. Algorithm of actions. Obtain the patient's consent for washing, explaining to him the purpose and course of the procedure. Plant patient side by side. Wear gloves. Put a towel on the shoulder of the patient, on top - oilcloth
  6. Exostoses of the external auditory canal
    Exostoses are bone formations that are a consequence of osteodystrophic processes of the temporal bone. Some of them refer to benign neoplasms. Exostoses grow slowly, often asymptomatically in the form of exo- and hyperostoses. When obturation of the ear canal, ear noise appears, hearing loss, disruption of sulfur or pus in otitis media is disturbed. There are two
  7. Purification of the external auditory canal
    Purpose To clean the ears of the patient. Indications The impossibility of self-service. Contra no. Possible complications When using hard objects damage the eardrum or external auditory canal. Equipment 1. Wadded turunda. 2. Pipette. 3. Beaker. 4. Boiled water. 5. 3% hydrogen peroxide solution. 6. Disinfectant solutions. 7. Tanks for disinfection. 8. Towel.
  8. Sulfur cap of the external auditory canal
    The blockage of the external auditory canal with sulfur or with admixture of the epidermis is not uncommon. Under normal conditions, the secret of the sulfur glands, drying into lumps and crusts, falls out during chewing and talking as a result of movements of the mandibular joint and the anterior wall of the auditory canal. Excessive accumulation of sulfur may be due to the hyperfunction of sulfur glands under the influence of irritating
  9. Acquired stenosis of the ear canal. 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. Acute duct eczema
    Cause Frequent local skin irritation of the ear canal with general eczema. Predisposing factor to the eczema of the ear canal is suppuration from the ear in chronic purulent otitis, as well as allergies, rickets, exudative diathesis, purulent inflammation of the middle ear, intestinal intoxication, sulfur plugs, frequent and improper use of ointments and lotions. Symptoms Itching. He may be so
  11. Diseases of the auditory nerve, pathways and auditory centers in the brain
    Lesions of the conductive part of the auditory analyzer can occur on any of its segments. The most frequent are the diseases of the first neuron, which are united in a group that received the name of the neuritis of the auditory nerve. This name is somewhat arbitrary, as this group includes not only diseases of the auditory nerve trunk, but also damage to the nerve cells that make up
  12. Boils
    The clinical picture of furuncles of the external auditory canal The furuncle of the external auditory canal is limited inflammation in the cartilaginous part of the external auditory canal. With minor skin lesions, the infection penetrates the hair follicles and sebaceous glands, from which the inflammation begins. There is a sharp pain in the ear, often extending to the teeth, aggravated by chewing, a sharp pain when
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