Is there a difference between otitis and ear canal boils?

1. The degree of hearing influence is different.

The middle ear is within the eardrum and includes three delicate ear bones. The outer ear refers to the ear and ear canal. Otitis media is inflammation of the middle ear and is often a painful complication of an upper respiratory tract infection such as the common cold or throat infection.

Boils and otitis externa are both inflammatory lesions of the external auditory canal**. Boils in the external auditory canal are localized and purulent;Pain in the ear during the attack, exacerbation with mouth opening, chewing, and yawning, and significant pain in pulling the pinna or pressing the tragus. Otitis externa has little effect on hearing and is the point that distinguishes it from acute otitis media.

2. The symptoms are different.

In people with otitis media, hearing may be temporarily improved due to fluid leaving the cochlea (dislocated hearing improvement) when the head is tilted forward or shifted to the unaffected side. When the fluid is thick, hearing does not change due to changes in head position. Children often have slow response to sounds, lack of concentration, and decline in academic performance, and are brought to the doctor by their parents.

Boils of the external auditory canal often grow at the opening of the external auditory canal, showing a localized bulge, the top of the abscess becomes soft after the abscess is formed, and it can burst on its own after the pus is ripe, and a small amount of thick pus is discharged, often with blood streaks, and the pain is quickly and significantly relieved. In otitis externa, the entire external auditory canal is red and swollen, with a small amount of purulent discharge, and the acute ** can become chronic. There are also chronic manifestations of onset, such as discomfort in the external auditory canal, slight pain, slight itching, and a small amount of yellow discharge or skin flakes.

Otitis is the redness and swelling of the entire ear canal, and the scabies of the ear canal is a small red bump in the ear canal, the kind of pain that hurts greatly.

If otitis externa is confirmed, oral antibiotics** are given, along with ofloxacin ear drops in the ear canal. Take care to keep the inside of the ear canal clean and dry, avoid water, and do not pick your ears.

First of all, boils in the external auditory canal are acute localized purulent lesions of the external auditory canal, also known as localized otitis externa. It occurs in the cartilage of the external auditory canal and is one of the common diseases in otology. Most of them are ear picking and damaging the external auditory canal** or water accumulation in the external auditory canal during bathing and swimming, which will cause the ** of the ear to be infected, and finally lead to the breeding and reproduction of bacteria.

Then, most of them are ear picking and damage the external auditory canal** or water accumulation in the external auditory canal during bathing and swimming, which softens the local epidermis and is easy to be invaded and infected by bacteria. In addition, soaking of pus from purulent otitis media and certain diseases such as diabetes mellitus can also induce boils in the external auditory canal.

Finally, 1% 2% phenol glycerol or 10% ichthyl glycerin cotton mammothstone orange suppositories were left in the external auditory canal, or topical Chinese medicine to reduce swelling powder plus 2% dacronine berberine ointment, and antibacterial drugs and analgesics were given if necessary. It depends on the individual's physical condition.

At first, it is a severe throbbing earache, especially when opening the mouth, chewing, and snorting, which can radiate to the ipsilateral head, often accompanied by fever, general malaise, and the pain can be relieved after the boil breaks down on its own, and the body temperature drops, and the swelling or occlusion of the ear canal can cause hearing loss. The toddler is irritable, crying, and frequently scratches his ears with his hands. If the boil is located in the anterior and inferior wall of the external auditory canal, in addition to the aggravation of jaw movement pain, redness and swelling may appear in the anterior and lower tragus; If the boil is located in the posterior wall of the external auditory canal, there may be redness and swelling behind the ear, the posterior auricular groove disappears, and the auricle moves forward.

Lymph nodes in front, behind, and under the auricular may also be swollen and tender, and in the case of multiple ear boils, local symptoms may be more severe.

The clinical manifestations are initially severe throbbing otalgia, especially when opening the mouth, chewing, and yawning, which can radiate to the ipsilateral head, often accompanied by fever, general malaise, pain can be relieved after the boil breaks down on its own, the temperature of the cavity is dropped, and the swelling or occlusion of the ear canal can cause hearing loss. Infants and toddlers are irritable, crying, and frequently scratching their ears. If the boil is located in the anterior and inferior wall of the external auditory canal, in addition to the aggravation of jaw movement pain, redness and swelling may appear in the anterior and lower tragus; If the boil is located in the posterior wall of the external auditory canal, there may be redness and swelling behind the ear**, the posterior auricular groove disappears, and the auricle moves forward.

At this time, lymph nodes in front of the ear, after the ear, and under the ear may also be swollen and tender, and in the case of multiple ear boils, the local symptoms are more severe.

**Antimicrobials should be used early in the early stages to control infection. Take sedative, analgesic and hand medications. Topical heat compresses or treatment with a specific electromagnetic wave physiotherapy device (TDP) can help inflammation subside and relieve pain.

In the early stage, 2% 5% phenolic glycerin gauze can be applied to the boil, or 8% aluminum acetate gauze, or 10% ichthyl ointment can be applied to the affected area to reduce inflammation and relieve pain. If an abscess has formed in the affected area, the abscess should be drained**, and once the pus is discharged, the pain will be relieved. However, immature boils are contraindicated for incision and drainage to prevent the spread of infection.

Otitis externa, boils of the external auditory canal. It is recommended that you use mupirocin ointment topically, and if there is no ulcerated wound, ichthyol ointment. Usually pay attention to the cleanliness of the external ear canal, do not enter the water, and it is forbidden to pick the ear.