Otitis Eksterna

OEF : an infection of a hair follicle in the outher ear canal.

TRAUMA ABRASION / MACERATION STAPHY. SP (DM) INFECTION SPONTANEUS / RECURRENCY

O E F : 1/3 ext.canal Furuncel Punctum in hair folikel Otalgia TM normal

O E D : CAE skin all Oedema Narrow ear canal Erythematous TM erytematous

CLINICAL FEATURES :(GRAY,1992)

Irritation Pain Trismus Deafness Regional lymphadenitis

SPREAD INFECTION (Gray) BACKWARD : Superficial to the periosteum over

the mastoid, with obliteration of the postauricular sulcus.

FORWARD : Into parotid region INWARD : Through the notch of rivinus, to

infect the tympanic cavity

COMPLICATION :(Bailey,1998)

Cellulitis Erysipelas Perichondritis Chondritis Chronic

TREATMENT : Antibiotics : Applied Local Analgetics Incision : seldom required Aural toilet : cleansing spontaneus

discharge

(GRAY, 1992)

Otitis Eksterna DifusaHot wheater ear, singapore ear, hongkong ear, swimmer’s ear.

DefinisiInfeksi bakteri kanalis kerusakan kulit normal / barier pelindung serumen yg terlepas kelembaban & temperatur

Patogenese Manipulasi liang telinga hilangnya

lapisan lemak muara kelenjar terbuka resorbsi cairan dari luar oedem sekresi kelenjar sebacea & sudorifera permukaan kulit kering rasa gatal pada liang telinga ingin menggaruk & laserasi kulit mempermudah invasi kuman (Mawson 1974 )

Empat prinsip dasar OED: Pembersihan liang telinga secara

teratur Penggunaan antibiotika yang tepat Pengobatan inflamasi dan nyeri Pencegahan infeksi berulang

Thank you