4 45 year old lady comes with right ear pain with itching and discharge 45 year old lady comes with right ear pain with itching and discharge. She has just returned from holiday in Cyprus.
5 Pathophysiology Superficial infection of EAC Obstruction- cerumen, narrow EAC, exostosis EAC, hearing aidTraumaPH alterationRole of PH of external auditory canal in acute otitis externa. Kumar S,Indian j head and neck surgery 2014, Jan 66(1):86-91
14 Principles of treatment Topical treatment in uncomplicated OE-SuctionAnalgesicsKeeping ear dryEar swabs - only in resistant/ chronic OE
15 Ear swabOnly if condition does not improve with empirical topical treatmentOE is recurrentAfter ear surgeryInfection beyond EACBMJ 2014 Llor, McNulty et al
16 A study of acute otitis externa at Wellington hospital , Jayakar, Sanders, Jones Australasian Med J 2014
17 History of previous ear problem-?perforation State of ear canal Choice of ear dropsHistory of previous ear problem-?perforationState of ear canalIf the swab results availableCostSofradex ear drops- £ VATGentisone HC ear drops- £4.76+VATCipro- £4.70+VATOtomise ear spray- £3.50+ VATLocartan vioform ear drops- £1.76+ VAT
18 Delivery of ear dropsNarrow EACUse of Pope wick