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Nosulya E.V.

Sverzhevskiy Research Clinical Institute of Otorhinolaryngology

Kunelskaya V.Ya.

Sverzhevskii Research Clinical Institute of Otorhinolaryngology

Kim I.A.

Pirogov National Research Medical University;
National Medical Research Center of Otorhinolaryngology

Luchsheva Yu.V.

Sverzhevskii Research Clinical Institute of Otorhinolaryngology

External otitis: clinical diagnostics and treatment tactics

Authors:

Nosulya E.V., Kunelskaya V.Ya., Kim I.A., Luchsheva Yu.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2021;86(3): 36‑40

DOI: 10.17116/otorino20218603136

Read: 4639 times

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Table of contents

EXTERNAL OTITIS: CLINICAL DIAGNOSTICS AND TREATMENT TACTICS
EXTERNAL OTITIS: CLINICAL DIAGNOSTICS AND TREATMENT TACTICS

To cite this article:

Nosulya EV, Kunelskaya VYa, Kim IA, Luchsheva YuV. External otitis: clinical diagnostics and treatment tactics. Russian Bulletin of Otorhinolaryngology. 2021;86(3):36‑40. (In Russ.)
https://doi.org/10.17116/otorino20218603136

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To summarize modern data about the epidemiology, etiology, clinical course and diagnosis of otitis externa.

MATERIAL AND METHODS

Materials of scientific publications included in the Cochrane Library, information bases of the RSCI, MEDLINE, PubMed were used as a data source. The choice of material was carried out according to the keywords: otitis externa, etiology, diagnosis, treatment, local treatment.

RESULTS

The role of combined drugs in the main etiopathogenetic mechanisms of the external ear inflammatory process is shown.

CONCLUSION

Analysis of published data from clinical trials indicates the importance of a fixed antibacterial agents and anesthetic combination in increasing the effectiveness of topical therapy for otitis externa.

Keywords:

otitis externa
etiology
diagnosis
local treatment

Authors:

Nosulya E.V.

Sverzhevskiy Research Clinical Institute of Otorhinolaryngology

Kunelskaya V.Ya.

Sverzhevskii Research Clinical Institute of Otorhinolaryngology

Kim I.A.

Pirogov National Research Medical University;
National Medical Research Center of Otorhinolaryngology

Luchsheva Yu.V.

Sverzhevskii Research Clinical Institute of Otorhinolaryngology

Received:

10.05.2021

Accepted:

10.06.2021

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References:

  1. Bojrab DI, Bruderly T, Abdulrazzak Y. Otitis externa. Otolaryngologic Clinics of North America. 1996;29(5):761-782. 
  2. Rosenfeld RM, Schwartz SR, Cannon CR, Roland PS, Simon GR, Kumar KA, Huang WW, Haskell HW, Robertson PJ. Clinical practice guideline: acute otitis externa. Otolaryngology — Head and Neck Surgery. 2014;150(1 suppl):1-24.  https://doi.org/10.1177/0194599813517083
  3. Hajioff D, MacKeith S. Otitis externa. BMJ Clinical Evidence. 2015;2015:0510.
  4. Mileshina NA. Vospalitel’nye zabolevaniya naruzhnogo ukha. In: Otorinolaringologiya. Natsional’noe rukovodstvo. M.: GEOTAR-Media; 2020:546-553. (In Russ.).
  5. Neher A, Nagl M, Scholtz AW. Otitis externa: Atiologie, Diagnostik und Therapie [Otitis externa: etiology, diagnostic and therapy]. HNO. 2008;56(10):1067-1080. https://doi.org/10.1007/s00106-008-1830-y
  6. Centers for Disease Control and Prevention (CDC). Estimated burden of acute otitis externa — United States, 2003-2007. Morbidity and Mortality Weekly Report. 2011;60(19):605-609. 
  7. Rowlands S, Devalia H, Smith C, Hubbard R, Dean A. Otitis externa in UK general practice: a survey using the UK General Practice Research Database. The British Journal of General Practice. 2001;51(468):533-538. 
  8. Musa TS, Bemu AN, Grema US, Kirfi AM. Pattern of otitis externa in Kaduna Nigeria. The Pan African Medical Journal. 2015;21:165.  https://doi.org/10.11604/pamj.2015.21.165.5577
  9. Mady OM, El-Ozairy HS, Wady EM. Increased incidence of otitis externa in covid-19 patients. American Journal of Otolaryngology. 2021;42(3):102672. https://doi.org/10.1016/j.amjoto.2020.102672
  10. Zavarzin BA, Anikin IA. Candibiotic in the treatment of acute medium and external otitis media. Rossijskaya otorinolaringologiya. 2011;51(2):146-149. (In Russ.).
  11. Al Dousary S, Attallh M, al Rabah A, al Ammar A, Gaafar M. Otitis externa malignant. A case report and review of literature. Otolaryngologia Polska. 1998;52(1):19-22. 
  12. Carfrae MJ, Kesser BW. Malignant otitis externa. Otolaryngologic Clinics of North America. 2008;41(3):537-ix.  https://doi.org/10.1016/j.otc.2008.01.004
  13. Cohen D, Friedman P. The diagnostic criteria of malignant external otitis. The Journal of Laryngology and Otology. 1987;101(3):216-221.  https://doi.org/10.1017/s0022215100101562
  14. Ceruse P, Colleaux B, Truy E, Disant F, Morgon AH, Lahneche B. Les otites malignes externes. A propos de sept cas récents [Malignant external otitis. Apropos of 7 recent cases]. Annales d’Oto-laryngologie et de Chirurgie Cervico Faciale. 1993;110(6):332-336. 
  15. Bhandary S, Karki P, Sinha BK. Malignant otitis externa: a review. Pacific Health Dialog. 2002;9(1):64-67. 
  16. Selesnick SH. Otitis externa: management of the recalcitrant case. The American Journal of Otology. 1994;15(3):408-412. 
  17. Kaushik V, Malik T, Saeed SR. Interventions for acute otitis externa. The Cochrane Database of Systematic Reviews. 2010;1:CD004740. https://doi.org/10.1002/14651858.CD004740.pub2
  18. Schwartz RH. Once-daily ofloxacin otic solution versus neomycin sulfate/polymyxin B sulfate/hydrocortisone otic suspension four times a day: a multicenter, randomized, evaluator-blinded trial to compare the efficacy, safety, and pain relief in pediatric patients with otitis externa. Current Medical Research and Opinion. 2006;22(9):1725-1736. https://doi.org/10.1185/030079906X121057
  19. Roland PS, Belcher BP, Bettis R, Makabale RL, Conroy PJ, Wall GM, Dupre S, Potts S, Hogg G, Weber K; Cipro HC Study Group. A single topical agent is clinically equivalent to the combination of topical and oral antibiotic treatment for otitis externa. American Journal of Otolaryngology. 2008;29(4):255-261.  https://doi.org/10.1016/j.amjoto.2007.09.002
  20. Mösges R, Kaatz V, Schmalz P, Meiser P, Eschmann K. Glycerol lidocaine eardrops for the treatment of acute abacterial otitis externa. Arzneimittel-Forschung. 2010;60(7):427-431.  https://doi.org/10.1055/s-0031-1296307
  21. Premachandra DJ. Use of EMLA cream as an analgesic in the management of painful otitis externa. The Journal of Laryngology and Otology. 1990;104(11):887-888.  https://doi.org/10.1017/s0022215100114252
  22. Bolt P, Barnett P, Babl FE, Sharwood LN. Topical lignocaine for pain relief in acute otitis media: results of a double-blind placebo-controlled randomised trial. Archives of Disease in Childhood. 2008;93(1):40-44.  https://doi.org/10.1136/adc.2006.110429
  23. Schaefer P, Baugh RF. Acute otitis externa: an update. American Family Physician. 2012;86(11):1055-1061.
  24. Rahman A, Rizwan S, Waycaster C, Wall GM. Pooled analysis of two clinical trials comparing the clinical outcomes of topical ciprofloxacin/dexamethasone otic suspension and polymyxin B/neomycin/hydrocortisone otic suspension for the treatment of acute otitis externa in adults and children. Clinical Therapeutics. 2007;29(9):1950-1956. https://doi.org/10.1016/j.clinthera.2007.09.005
  25. Wright CG, Meyerhoff WL. Ototoxicity of otic drops applied to the middle ear in the chinchilla. American Journal of Otolaryngology. 1984;5(3):166-176.  https://doi.org/10.1016/s0196-0709(84)80008-3
  26. Linder TE, Zwicky S, Brändle P. Ototoxicity of ear drops: a clinical perspective. The American Journal of Otology. 1995;16(5): 653-657. 
  27. Abelló P, Viñas JB, Vega J. Ototoxicidad tópica: revisión en un período de seis años [Topical ototoxicity: review over a 6-year period]. Acta Otorrinolaringologica Espanola. 1998;49(5):353-356. 
  28. Poetker DM, Lindstrom DR, Patel NJ, Conley SF, Flanary VA, Link TR, Kerschner JE. Ofloxacin otic drops vs neomycin-polymyxin B otic drops as prophylaxis against early postoperative tympanostomy tube otorrhea. Archives of Otolaryngology — Head and Neck Surgery. 2006;132(12):1294-1298. https://doi.org/10.1001/archotol.132.12.1294
  29. Weber PC, Roland PS, Hannley M, Friedman R, Manolidis S, Matz G, Owens F, Rybak L, Stewart MG. The development of antibiotic resistant organisms with the use of ototopical medications. Otolaryngology — Head and Neck Surgery. 2004; 130(3 Suppl):89-94.  https://doi.org/10.1016/j.otohns.2003.12.009
  30. Hopsu E, Närkiö-Mäkelä M, Silvola J. Miten ja milloin käytän korvaan tippoja? [How and when is topical treatment applied into the ear?] Duodecim; Laaketieteellinen Aikakauskirja. 2011;127(14):1470-1480.
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