Management of acute otitis externa using aural wick versus local drops

Authors

  • Shilan N. Qader Department of ENT, Rizgary Teaching Hospital, Erbil, Iraq
  • Moyaser A. Yaseen Department of Surgery-ENT, College of Medicine, Hawler Medical University, Erbil-Iraq.

DOI:

https://doi.org/10.15218/zjms.2012.0033

Keywords:

Acute otitis externa, boil in the external ear, diffuse otitis externa

Abstract

Background and objectives: Acute otitis externa is one the commonest otological disease. In this study we aimed to evaluate its types and the possible predisposing factors as well as comparing the effectiveness between local wick and local drops in treating acute otitis externa. Methods: A prospective analysis of 100 patients complained of acute otitis externa was performed in the department of Otolaryngology at Rizgary Teaching Hospital in Hawler between August 2005 to January 2006. Male patients were 45%, and the rest 55% were females. Patients were classified into two groups; 50 patients received topical application of cream using aural wick, and the second group of 50 patients treated by topical ear drops. Results: The commonest predisposing factors were water entrance to the affected ear during bathing and swimming (51%). On culturing, bacteria were found in 64% of patients and fungi in 11%. Topical application using aural wick showed 100% response, whereas only 60% of those received topical ear drops had an immediate response. Conclusion: Acute diffuse otitis externa is the most frequent type. Pseudomonas aeruginosa is the commonest bacterial growth. Aspergillous species is the commonest caused of fungal growth. Response to aural wick treatment is much better than aural drops.

Metrics

Metrics Loading ...

References

Cowan D.L and John Habbert. Scott- Brown's Otplaryngology, Vd .G , Laryngology and Head and Neck surgery , 6th ed. 1997 P . 3/3/3- 7, 3/6/13- 17

Roger F.Gray. Asynopsis of oto laryngology, 5th ed. 1992, pp. 83-89, 90-97.

Rakel, R.E. Conn's Current Therapy. WB Saunders Co., USA. 2000.

Santuria, B.; Marcus, M., and Lucente, F. Disease of the external Ear. 2nd ed. Grune and Stratun. New yourk. USA. 1980

Martyn, Fields. Otitis Externa. New zealand Family physician. 2002 April; 29(2).

Maran. A.G.D., Logan Turner's Diseases of the Nose, throat and Ear, 10th ed . 1988; P.271

K.J. Lee. Essential Otolaryngology, Head and neck surgery, 8th ed. 2003; PP.19-20,

Al-Naddawi, A.F. Otitis Externa (microbiological study). Msc. Thesis. College. Medicine.University. Baghdad. Iraq. 2000

Perez, O.J.; Rivares, E.; Leache, P.; Fernandez, L.; Marin, G.; Sevil, N., and Meteo, B. An outpatient study in ENT emergencies at general hospital in Spain. Acta Otolaryngol Esp. 1995 Jul; 46 ;( 4): 298-304.

Hawke‏‏, M., J. Wongm, and S. Krajden. Clinical and Microbial Features of Otitis Externa. J Otolaryngol. 1984 Oct; 13(5): 289-95.

Tang, H.M. Acute otitis externa in Hong kong practitionar. 1983 Feb, 1(1).

Battikihi, B.N. and Samih, I.A. Otitis externa infection in Jordan / clinical and microbiological features. Saudi Med. J. 2004; 25(9): 1199_1203

Walling, A.D. Otitis Externa. J Am Fam Physician 1999 Mar: 217.

Bell, D.N. Otitis Externa, It common, often self inflected condition. Post-Grad-Med 1985; 78(3):101-4.

Loh, KS.; Tan,KK. ; Kumarasinghe, G.; Leong, HK, and Yeoh, KH. Otitis Externa-the clinical pattern in tertiary institution in Singapore. Ann-Acad-Med-Singapore. 1998 Mar; 27(2):215-8

Nussinovitch, M.; Ayelet, R.; Benjamin, V.; Eyal, R.; Dario, P., and Jacob, A. Cotton-tip applicators as a leading cause of otitis externa. Int J Pediatrics 2004; 68(4).

Ieung AKC, Fong JKS, Leong AG. Otalgia inchildren. JNati Med Assoc. 2000; 92; 254_60

ZAKY DA, Bentley. DW, lowy k. Betts RF, Douglas RG, Malignant external otitis: asever from of otitis in diabetic patients. Am J Med 1976; 61: 298-302

Quinn, F.P. Infection of the external Ear. UTMB Otolaryngology. Grand Round Presentation. USA. 2001

Manni, K.K. bacteriological studies in external otitis in Dar-Essalam. Trop Geogr. Med. 1984; 36(1): 293-5.

Amigot, S.L.; C.R. Gomez ; A.G. Luque, and G. Ebner. Microbiological study of otitis externa in Rosario city, Argentina. Mycoses 2003 ; 46(8):294.tt

Clark. WB, Brook I, Bianki D, Thompson DH. Microbiology of otitis externa. Otolaryngol Head Neck Surg. 1997; 116: 23-25.

Holten, B.K. and Janet, G. Management of the patient with otitis externa. Journal of family practice. April, 2001.

Ong, YK. And G. Chee. Infection of the eaxterna ear. Ann Acad Med Singapore. 2005 May; 34(4).

Kuczkoweski, J.; Samet, A.; and Brozozowski, W. Bacteriologic evaluation of otitis externa and chronic otitis media. Otolaryngol-pol. 2000; 54(5): 551-6.

Keith B,Holten;Janet Gick,Wilmington and Cincinnati,Ohio. Management of patient with otitis externa. The Journal of family practice 2001 April; Vol. 50 (4).

Sander, R. Otitis Externa, a Practial Guide for Treatment and Prevention. J Am Fam. Physician. 2001 March; 1,63(5):927-937.

Bojrab ,DI, Bruderly ,T, Abdulrazzak ,Y. ,Otitis externa. ,Otolaryngol Clin North Am. ,1996;29:761–82.

Biedlingmaier ,JF. ,Two ear problems you may not need to refer. Otitis externa and bullous myringitis. ,Postgrad Med. ,1994;96:141–5,148.

Odonez GE, Kime CE, Updegraff WR, Glassman JM, Soyka JP. Effective treatment of acute diffuse otitis externa: I. a controlled comparison of hydrocortisone-acetic acid, non-aqueous and hydrocortisone-neomycin-polymyxin b-colistin otic solutions. Curr Ther Res 1978;23: 3–14

Downloads

Published

2012-12-01

How to Cite

Qader, S. N., & Yaseen, M. A. (2012). Management of acute otitis externa using aural wick versus local drops. Zanco Journal of Medical Sciences (Zanco J Med Sci), 16(3), 187–193. https://doi.org/10.15218/zjms.2012.0033

Issue

Section

Original Articles