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Infective otitis externa

MedGen UID:
7070
•Concept ID:
C0021355
•
Disease or Syndrome
Synonyms: External Ear Infection; Infectious Otitis Externa; Infective OE (otitis externa); Swimmer's ear
SNOMED CT: Infective otitis externa (86981007); Infective OE (otitis externa) (86981007); Swimmer's ear (3135009)

Definition

Inflammation of the anatomical structures of the outer ear and ear canal secondary to an infectious process. Bacterial etiology is most common, but fungal infection is also possible. Symptoms include erythema, edema, and pain. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVInfective otitis externa

Professional guidelines

PubMed

Clinical practice guideline: acute otitis externa.
Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ
Otolaryngol Head Neck Surg 2014 Feb;150(1 Suppl):S1-S24. doi: 10.1177/0194599813517083. PMID: 24491310
Otomycosis: Diagnosis and treatment.
Vennewald I, Klemm E
Clin Dermatol 2010 Mar 4;28(2):202-11. doi: 10.1016/j.clindermatol.2009.12.003. PMID: 20347664
Otomycosis in Burma, and its treatment.
Than KM, Naing KS, Min M
Am J Trop Med Hyg 1980 Jul;29(4):620-3. doi: 10.4269/ajtmh.1980.29.620. PMID: 6447461

Recent clinical studies

Etiology

Otitis externa.
Barry V, Bhamra N, Balai E, Maung S
BMJ 2021 Mar 31;372:n714. doi: 10.1136/bmj.n714. PMID: 33789841
Malignant otitis externa: An updated review.
Treviño González JL, Reyes Suárez LL, Hernández de León JE
Am J Otolaryngol 2021 Mar-Apr;42(2):102894. Epub 2021 Jan 5 doi: 10.1016/j.amjoto.2020.102894. PMID: 33429178
Neurologic infections in diabetes mellitus.
Jay CA, Solbrig MV
Handb Clin Neurol 2014;126:175-94. doi: 10.1016/B978-0-444-53480-4.00014-X. PMID: 25410222
Clinical practice guideline: acute otitis externa.
Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ
Otolaryngol Head Neck Surg 2014 Feb;150(1 Suppl):S1-S24. doi: 10.1177/0194599813517083. PMID: 24491310
Health issues for surfers.
Zoltan TB, Taylor KS, Achar SA
Am Fam Physician 2005 Jun 15;71(12):2313-7. PMID: 15999868

Diagnosis

An Overview of Acute Otitis Externa.
Plum AW, Wong M
Otolaryngol Clin North Am 2023 Oct;56(5):891-896. Epub 2023 Jul 27 doi: 10.1016/j.otc.2023.06.006. PMID: 37516653
Otitis externa.
Barry V, Bhamra N, Balai E, Maung S
BMJ 2021 Mar 31;372:n714. doi: 10.1136/bmj.n714. PMID: 33789841
Infections of the Ear.
Szmuilowicz J, Young R
Emerg Med Clin North Am 2019 Feb;37(1):1-9. doi: 10.1016/j.emc.2018.09.001. PMID: 30454772
Otitis externa.
Long M
Pediatr Rev 2013 Mar;34(3):143-4. doi: 10.1542/pir.34-3-143. PMID: 23457202
Otitis externa.
Stone KE
Pediatr Rev 2007 Feb;28(2):77-8; discussion 78. doi: 10.1542/pir.28-2-77. PMID: 17272526

Therapy

Otitis externa.
Barry V, Bhamra N, Balai E, Maung S
BMJ 2021 Mar 31;372:n714. doi: 10.1136/bmj.n714. PMID: 33789841
Otitis Externa.
Wiegand S, Berner R, Schneider A, Lundershausen E, Dietz A
Dtsch Arztebl Int 2019 Mar 29;116(13):224-234. doi: 10.3238/arztebl.2019.0224. PMID: 31064650Free PMC Article
Otitis externa.
Long M
Pediatr Rev 2013 Mar;34(3):143-4. doi: 10.1542/pir.34-3-143. PMID: 23457202
Otitis externa.
Stone KE
Pediatr Rev 2007 Feb;28(2):77-8; discussion 78. doi: 10.1542/pir.28-2-77. PMID: 17272526
Otitis externa review.
Beers SL, Abramo TJ
Pediatr Emerg Care 2004 Apr;20(4):250-6. doi: 10.1097/01.pec.0000121246.99242.f5. PMID: 15057182

Prognosis

Malignant otitis externa: An updated review.
Treviño González JL, Reyes Suárez LL, Hernández de León JE
Am J Otolaryngol 2021 Mar-Apr;42(2):102894. Epub 2021 Jan 5 doi: 10.1016/j.amjoto.2020.102894. PMID: 33429178
Clinical practice guideline: acute otitis externa.
Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ
Otolaryngol Head Neck Surg 2014 Feb;150(1 Suppl):S1-S24. doi: 10.1177/0194599813517083. PMID: 24491310
Central skull base osteomyelitis: an emerging clinical entity.
Johnson AK, Batra PS
Laryngoscope 2014 May;124(5):1083-7. Epub 2013 Nov 7 doi: 10.1002/lary.24440. PMID: 24115113
Complicated necrotizing otitis externa.
Nawas MT, Daruwalla VJ, Spirer D, Micco AG, Nemeth AJ
Am J Otolaryngol 2013 Nov-Dec;34(6):706-9. Epub 2013 Aug 5 doi: 10.1016/j.amjoto.2013.07.003. PMID: 23927998
Otitis externa: a clinical overview.
Schapowal A
Ear Nose Throat J 2002 Aug;81(8 Suppl 1):21-2. PMID: 12199185

Clinical prediction guides

Endoscopic Versus Microscopic Tympanoplasty: A Systematic Review and Metanalysis.
Gkrinia E, Ntziovara AM, Brotis AG, Tzimkas-Dakis K, Saratziotis A, Korais C, Hajiioannou J
Laryngoscope 2024 Aug;134(8):3466-3476. Epub 2024 Feb 28 doi: 10.1002/lary.31365. PMID: 38415937
Short- and long-term outcomes of subtotal ear canal ablation and lateral bulla osteotomy in French bulldogs.
Aranda-Jiménez F, Martin-Bernal C, Hernández-León D, Fontalba-Navas JL, Calvo I
Can J Vet Res 2023 Oct;87(4):277-281. PMID: 37790263Free PMC Article
Facial Paralysis in Skull Base Osteomyelitis - Comparison of Surgical and Nonsurgical Management.
Freeman MH, Perkins EL, Tawfik KO, O'Malley MR, Labadie RF, Haynes DS, Bennett ML
Laryngoscope 2023 Jan;133(1):179-183. Epub 2022 May 12 doi: 10.1002/lary.30161. PMID: 35546515
Lifetime prevalence of exostoses in New Zealand surfers.
Simas V, Remnant D, Furness J, Bacon CJ, Moran RW, Hing WA, Climstein M
J Prim Health Care 2019 Apr;11(1):47-53. doi: 10.1071/HC18097. PMID: 31039989
Otitis externa.
Hajioff D, Mackeith S
BMJ Clin Evid 2010 Aug 3;2010 PMID: 21418684Free PMC Article

Recent systematic reviews

Endoscopic Versus Microscopic Tympanoplasty: A Systematic Review and Metanalysis.
Gkrinia E, Ntziovara AM, Brotis AG, Tzimkas-Dakis K, Saratziotis A, Korais C, Hajiioannou J
Laryngoscope 2024 Aug;134(8):3466-3476. Epub 2024 Feb 28 doi: 10.1002/lary.31365. PMID: 38415937
Antibiotics versus non-antibiotic treatments for acute otitis externa: A systematic review and meta-analysis.
Di Traglia R, Tudor-Green B, Muzaffar J, Borsetto D, Smith ME
Clin Otolaryngol 2023 Nov;48(6):841-862. Epub 2023 Aug 7 doi: 10.1111/coa.14084. PMID: 37550850
Systematic review of the diagnosis and management of necrotising otitis externa: Highlighting the need for high-quality research.
Takata J, Hopkins M, Alexander V, Bannister O, Dalton L, Harrison L, Groves E, Kanona H, Jones GL, Mohammed H, Andersson MI, Hodgson SH
Clin Otolaryngol 2023 May;48(3):381-394. Epub 2023 Feb 22 doi: 10.1111/coa.14041. PMID: 36759416
Otitis externa.
Hajioff D, Mackeith S
BMJ Clin Evid 2010 Aug 3;2010 PMID: 21418684Free PMC Article
Otitis externa.
Hajioff D, Mackeith S
BMJ Clin Evid 2008 Jun 26;2008 PMID: 19450296Free PMC Article

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