الاثنين، 30 يوليو 2012

The external ear infections

Congenital malformations

    
Cyst cysts and fistulae fistulae around the pinna: failure to close the first and second brackets, which were established ear phenomenon leads to the formation of a hole or through the coated Bzaarh. If the road does not reach the outer surface formed cyst gets reached if the fistula. Which tends to the formation of secretions. And surgical treatment must know the fistula and its relationship to the facial nerve is not even Oveth

    
Abawarz lobules and additional Hillocks or accessory lobules: Bowers positioned in front of Alocdh can be found on a piece of cartilage, including small.

    
Pockets in front of pinna Pre-auricular sinuses: There is a small crater in front of the pinna may occur NZ and inflammation and frequently have a close relationship with the wheat helix.

    
Blockage of the Hungarian Congenital atresia of the external auditory meatus: gloss gloss indoor place of absent skin often accompanied by a natural defect in the pinna. With dysplasia and cranial sides of my face or jaws - or jaws can get as a result of injury as a result of measles and his students use during pregnancy.

    
Course of physiological narrowing stenosis: a college course swelling in the lower front section not only see the back of the drum membrane and part of the grip of the hammer.

    
Ear cartilage deformation:

        
lop ear: ear prolapse: a result of convergence and flatten the top section in the pinna

        
cup ear: due to the increase and exaggerate the size of the cochlea

        
Almtbarzh ear: due to the evolution of wheat for wheat and helix. The increase in excess cartilage and shell over the corner of the lobule protrusion or discourage the appropriate non-convergence of wheat.

        
Lack of growth pinna Auricular hypoplasia: an abnormality of the pinna suggests severe deformities of the middle ear and placed a strong possibility of distorting the facial nerve and the surgical repair, however, must be an expert

        
Narrowing of external auditory canal genetic: narrowing of the lumen of the bone section and the course is often two-sided and resides at several individuals in the family of infected

        
Tuber Darwin DARWIN'S TUBERCLE: Bachioan deformation has to do with race is situated at a height similar to the peak of the wheat ear when mammals.

        
condrodermatit nodularis circumscripta helicis: wheat contract is formed on the flap of the hilix very painful at palpation. Treated with surgical excision
Trauma injuries as a result:

    
Rip pinna laceration: get a result of trauma and separation of the pinna may be full. And surgical treatment

    
Trauma and hematoma: trauma can lead to hematoma and often blood accumulates between the cartilage and periosteum, Ajerahh necessary - blow up + bench pressing

    
Abrasions Abrasions: a result of trauma or itch treatment, etc. Control + fear of sepsis secondary

    
Burns: burn treated with antibiotics and topical ointments to eradicate the toxic parts to repair and can not be at full recovery.

    
Frost bite forstbite: get in the early stage usually paresthesia and pallor, lack of sense in the pinna and later edema and vesicles can be obtained. In severe injuries, but it can happen to die, and the loss in the tissues.

    
Blockage of external auditory canal: Get authorized phenomenon due to the infection or chronic infection or middle section of the course of bone or cartilage may follow surgery where noted narrowing circular incision or scar. Surgical treatment

    
Foreign objects: can puncture the eardrum and the body steel preferably eradicated in children with caution and may require general anesthesia. The foreign objects are smooth eradicated laundering ear and insects removed after distillation of oily substance in the ear. The pulses Dioctophyma Vtstasal after distillation of alcohol and whistles in order to shrink in size.

    
Alguenibtih ear or ear boxers cauliflower ear: an abnormality of the pinna cartilage trauma as a result of the continuous flap or the result of inflammation of the periosteum and cartilage formation of an abscess in the pinna cartilage led to die pinna.
Allergic injury

    
Allergy to medicines, such as drops, ointments, often Neomycin and should be suspected when used after the drop and get swelling, redness and sagging and pain.

    
Allergy to metals: often appears in the lobule from the use of ornaments.
Glandular infections:

    
Gout gout: recurrent pain characterized by the occurrence of arthritis which responds to COLCHICINE and is associated with storage Alpolat URATES in exchange for wheat and wheat are covered with a thin atrophic skin Muay could get to him later ulceration

    
Hypothyroidism: Get in the skin of the pinna, as in other areas of skin dryness and thickening and pallor, although treatment of infection or improvement in the skin of auditory canal associated with thyroid status.

    
Acromegaly :: acromegaly usually are the result of an increase in growth hormone from the pituitary gland, which leads to large pinna and the mastoid and the ear bones

    
Xanthomas tumor Yellow: accompanied by increased blood lipids and appears on the wheat in a yellow or orange in antiplatelet therapy eradication and histological examination shows a large number of foam cells
Injuries unknown reason:

    
Ear eczema phenomenon: usually bilateral cleft pretend with a sense of the discharge, and itching ear. Cortisone ointment treatment with antibiotics. There are 3 types of microbial, seborric, and endogenous eczema

    
Cataract keratoses keratosis obturans: get a result of injury or dysfunction in the migration of skin from the eardrum and the Hungarian marrow. Examination noted a large amount of fill in Section Asamlakh Malcena bone of the course and can give an unpleasant odor or expansion in the section of the course of the bone and leads to necrosis of the bone and sometimes facial nerve injury. Treatment, frequent cleaning use vinegar + water which leads Elynqs in desquamation of the skin and can sometimes need to remove the skin and the leveling. Keratoses cataract can be accompanied by the expansion of bronchitis and inflammation of pockets

    
Rosacea ACNE VULGARIS: greasy skin associated with PAPULES and abscesses and cysts are often small at the age of 10 years and above can affect the pinna and behind the pinna cartilage and the section of stream can be infected. Treated with antibiotics.

    
Alkolstrula tumor in the external auditory canal: can be suspected Baltaqran cataract but it's more brutal and more specific, but whatever can lead to necrosis of the bone tympanic. Eradication treatment can require frequent scraping of the skin and sometimes skin graft transplantation

    
Psoriasis Psoriasis: usually affects the knee and attachment and scalp and behind the pinna, but does not affect external auditory canal can never be associated with the external auditory canal eczema who doubted him like psoriasis. And inflammation of the skin in the external auditory canal often responds quickly to treatment and steroid ointments contrast to psoriasis.

    
Inflammation of the periosteum polychondritis relapsing polychondritis: is characterized by redness in the ear, nasal cartilage antihelix which leads to the formation of saddle nose. And the differential diagnosis must contain gout and rheumatic fever and other immune diseases. He notes the frequent inflammation of the ear flap, and may affect the ears or only one, may occur in the ear malformation. Hearing screening is usually sensorineural and may be progressive, or crispy surprise. Sometimes it may be transferable and be caused by narrowing of external auditory canal. Injury may be associated Khdot vestibular vertigo, may be a response to the caloric test is incomplete or non-existent, and all patients who show signs of infection appear to the inner ear infection in the cartilage of the ear.

    
Inflammation of the tympanic membrane granular myringitis granular: a gathering characterized by lymphocytes on the tympanic membrane and is usually associated with inflammation of the external auditory canal suppurativa. Granules and notes on the tympanic membrane that acid treated quickly with water half vinegar half, and that surgical removal of granulation tissue rarely Maittalb.

    
Systemic lupus erythematosus SLE: The two forms have been generalized and affects the skin and mucous, can infect the wheat and the cochlea with the limits for a gradual and papules.

    
Altaqranat photosensitizers of the flap Solar keratosis: scars blond warty skin infections in general and wheat as a result of exposure to the sun for a long time.
Cysts cystic:

    
Cyst Zhmah

    
Dermatocyst - epidermoid cyst - cyst epidermoid planted a result of trauma or surgery
Tumors of sound:

    
Aern bone Exostoz: two-sided at its base a broad tympanic ring often affects swimmers.

    
Tumor bone osteoma: a single suture arises from the mastoid tympanic

    
Adenoma adenoma: arises from the glands to secrete cerumen.

    
Angioma bloody hemoangioma: there are two types cavernous and capillary. Poetic decline after the age of two years or 3 years, and the cavernous not back down.

    
Vascular tumor of the lymphatic lymphangioma: is composed of channels containing the EMF can be spread or placement, such as vascular tumors.

    
Seema other tumors: lipoma - Phipproma (uterine fibroids) fibroma - Kondroma (chondroma) chondroma - Kiratoma - Kiratwakantoma - Niroljuma - papilloma (papilloma) papiloma - Maoma (myoma) mioma - mixed tumor biopsy and determine the type of tumor.

    
Brooke tumor epitelioma adenoid cystic Brook: tumor arises from the hair follicle in the external auditory canal, or pinna, and basal cell origin, surgical treatment of the subject of eradication.
Malignant tumors:

    
SCC tumor cells thorny

    
BCC basal cell tumor

    
Adenotzeyst adenoid cystic carcinoma tumor

    
Adjokarsnuma

    
Carcinoma of non-Hodgkin
Inflammatory injuries:

    
Diffuse otitis externa diffuse otitis externa: narrowing of the lumen flow with purulent discharge, redness and pain, congestion and the magnitude of the lymph nodes behind the pinna, which makes it Mtbarza and claims to doubt the existence of inflammation of the mastoid. Treatment with antibiotics and topical public bench and put in the ear edema of the scare and alcohol can be used by 95% or 70%.

    
Otitis externa position or boil external auditory canal FURUNCLE: characterized by Palm ears with a severe edema in the cartilage of the external auditory canal any location of hair follicles hair fallicles, and increase the pain by moving the pinna and the pressure on Alocdh tragus, (Note the pain by pressing the Alocdh in infants may be result of inflammation of the middle ear where it does not have to have heard the course of a bone). Treatment with antibiotics and anti-staphylococci Tweger abscess later that did not respond to pharmacological treatment, must be analyzed when blood sugar is noted for each patient has a relapse injury Bdml the course of the hearing.

    
Malignant otitis externa or necrotic malignant otitis externa: diabetes often affects the Madnfein and pretend to be, then the phenomenon of inflammation with the presence of granulation tissue in the focal bone cartilage and is usually the cause pyocyanea pseudomonas aeruginosa and gram negative. And that the disease is spreading and eating away the bone to reach the cranial base and cranial nerves. Therefore, the disease proves Alngneziom radioactive and is a means diagnostic. Warning bad disease if not treated quickly spread and the treatment is the use of antibiotics such as Alcypro and others with a simple leveling of the place of necrosis. And control Balgaldiom until full recovery

    
Inflammation of the cartilage of the periosteal flap perichondritis: redness of the total flap except lobule severe pain during palpation infection usually Gram-negative bacteria. Appropriate antibiotic therapy. (Note may lead to deformation of the disease and the occurrence of so-called pinna ear Alguenibtih permission or boxers)

    
Disease area (Ramsay Hunt) herpes zoster oticus: otalgia with formation of cysts filled with fluid bleeding extending from the cochlea in the pinna to the auditory canal and sometimes even the eardrum can be associated the disease with paralysis of the nerve and my face and wounded audio static (vestibular), causes nevi leaking.

    
Fungal otitis externa otomycosis: gets injured as a result tends to be innate and breakfast type of candidiasis (Candida) or Aspergillus (Espergeloz), and pretended to search the weight of disease and itching in the ear and sometimes formed the so-called innate stopper and lead to a lack of hearing. Treatment of the disease frequent cleaning and topical antifungal treatment needs for a period of not less than 3 weeks
Sealer Asamlakhih wax:A grouping Asamlakh in the external auditory canal and filled leading to a lack of hearing conductive and is often a result of frequent cleaning of the ear Balaawad cotton, an examination of the ear shows mass blocking the Hungarian structure yellowish and sometimes tend to black, and usually the patient visit the doctor, complained that after shower hair ringing and the lack of hearing and this case with the result of the entry of water and Lazn Asamlakh inflation and swelling which leads to blockage of the entire course. Treatment is the use of such as rain drops or water Alglseren Alaoxegina by 3% and then wash the ear (you must make sure that there is no perforation in the tympanic membrane before washing). Note the plug Asamlakhih consists of skin Mtosevh with hair, dust and secretions of sebaceous glands and Alzhmah Asamlakhih ceruminous gland. And that the central acidic Asamlakh)

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