Etiological cause of otomycosis — it is an opportunistic fungal microflora that affects the structures of the outer and middle ear. The disease is manifested by pain, decreased hearing acuity, and pathological discharge from the ear canal. The diagnosis is made on the basis of the clinical picture and otoscopy, and to confirm it, a microscopic examination of discharge from the ear is performed. Treatment of the disease requires local and systemic administration of antifungal drugs. Read more about the diagnosis and treatment of otomycosis on estet-portal.com in this article.
The main factors contributing to the development of otomycosis
The causative agent of otomycosis is a conditionally pathogenic fungal microflora. In this regard, the disease occurs against the background of a weakened reactivity of the body, or in the presence of microtraumatization of the skin of the outer ear. The main causes of otomycosis include the presence of & nbsp; foreign bodies in the ear, as well as combing the auricle and ear canal in dermatological diseases of allergic etiology.
Promote the development of otomycosis may be a violation of the hygiene of the ear canal.
The disease often occurs as a complication after a previous bacterial otitis.
Otomycosis:
• clinical presentation of acute and chronic otomycosis;
• basic effective methods for diagnosing otomycosis;
• otomycosis: an effective treatment regimen for the disease.
Clinical presentation of acute and chronic otomycosis
The clinical picture of otomycosis depends on the depth of the lesion. In this disease, the pathological process can cause the following changes:
• with external otomycosis, the clinical picture is characterized by the presence of pain, the release of a serous or purulent secret from the ear canal, as well as a decrease in hearing acuity;
• otitis media — manifested by pain and noise in the ear, and may also be accompanied by headache;
• fungal miringitis — damage to the tympanic membrane, which is manifested by hearing loss;
• otomycosis of the postoperative cavity — complication after manipulations on the mastoid process, which is characterized by the presence of pain in the area of surgical intervention.
Often, patients who have undergone bacterial otitis media, mastoid surgery or tympanic membrane surgery do not attach importance to pain for a long time, which delays diagnosis and treatment.
The main effective methods for diagnosing otomycosis
Diagnosis of otomycosis includes otoscopy, which allows visualization of inflammatory changes in the external auditory canal. With lesions of the tympanic membrane, its inflammation and swelling are observed, the absence of a light reflex. The diagnosis is confirmed by microscopic examination of discharge from the ear canal. Additionally, in case of otomycosis, the degree of hearing loss is determined by simple and threshold audiometry, vibration tests and acoustic impedancemetry.
Otomycosis: an effective treatment regimen for the disease
Antimycotic agents are used in the treatment of otomycosis. Before starting therapy with etiological drugs, it is necessary to carry out a toilet of the outer ear, during which blood, pus and sulfur deposits are removed. The next stage of treatment is washing the middle ear, postoperative cavity or external auditory canal with antimycotic drugs.
Systemic treatment of otomycosis is carried out in case of relapses of diseases, and in cases where it is impossible to eliminate the provoking factors otomycosis.
In the treatment of otomycosis, preference is given to combined preparations that contain antibiotics, antifungals and painkillers.
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