The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Dvornikov A.S.

Pirogov Russian National Research Medical University (Pirogov Medical University)

Gaydina T.A.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky;
Pirogov Russian National Research Medical University (Pirogov Medical University)

Kryukov A.I.

Scientific Research Clinical Institute of Otorhinolaryngology named after L.I. Sverzhevsky;
Russian National Research Medical University named after N.I. Pirogov

Shadrin G.B.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky

Munzalevskaya Yu.D.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky

Dermatological diseases predisposing to the development of otitis externa (literature review)

Authors:

Dvornikov A.S., Gaydina T.A., Kryukov A.I., Shadrin G.B., Munzalevskaya Yu.D.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2025;90(1): 50‑56

DOI: 10.17116/otorino20259001150

Read: 1207 times

Buy for 300₽
Contact the author
Table of contents

DERMATOLOGICAL DISEASES PREDISPOSING TO THE DEVELOPMENT OF OTITIS EXTERNA (LITERATURE REVIEW)
DERMATOLOGICAL DISEASES PREDISPOSING TO THE DEVELOPMENT OF OTITIS EXTERNA (LITERATURE REVIEW)

To cite this article:

Dvornikov AS, Gaydina TA, Kryukov AI, Shadrin GB, Munzalevskaya YuD. Dermatological diseases predisposing to the development of otitis externa (literature review). Russian Bulletin of Otorhinolaryngology. 2025;90(1):50‑56. (In Russ.)
https://doi.org/10.17116/otorino20259001150

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

Otitis externa is the most common diagnosis in the practice of an otorhinolaryngologist. Definitions of the term are not precise at the moment, and a universal generally accepted classification has not been developed. In a separate nosological group, otitis externa can be distinguished from the background of dermatological diseases. These patients need an interdisciplinary approach, joint supervision of otorhinolaryngologists and dermatovenerologists to increase the effectiveness of treatment and minimize the risks of chronic otitis. Severe complications of otitis externa are obstructive keratosis, fibrous atresia, and persistent conductive hearing loss. Diagnostic algorithms and therapeutic strategies for otitis externa should include the search and therapy of a background dermatological disease. At the moment, the tactics of managing patients suffering from otitis externa on the background of dermatological diseases continues to be developed.

Keywords:

otitis externa
dermatological diseases
obstructive keratosis
fibrous atresia
conductive hearing loss

Authors:

Dvornikov A.S.

Pirogov Russian National Research Medical University (Pirogov Medical University)

Gaydina T.A.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky;
Pirogov Russian National Research Medical University (Pirogov Medical University)

Kryukov A.I.

Scientific Research Clinical Institute of Otorhinolaryngology named after L.I. Sverzhevsky;
Russian National Research Medical University named after N.I. Pirogov

Shadrin G.B.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky

Munzalevskaya Yu.D.

Scientific Research Clinical Institute of Otolaryngology named after L.I. Sverzhevsky

Received:

15.11.2024

Accepted:

20.12.2024

Close metadata

References:

  1. 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
  2. Medina-Blasini Y, Sharman T. Otitis Externa. Treasure Island (FL): StatPearls Publishing. 2023. Accessed 20.09.2024. https://www.ncbi.nlm.nih.gov/books/NBK556055
  3. Svistushkin VM, Nikiforova GN, Shevchik EA, Zolotova AV. Modern aspects of inflammatory external ear diseases treatment. Russian Bulletin of Otorhinolaryngology. 2021;86(3):90-96. (In Russ.). https://doi.org/10.17116/otorino20218603190
  4. Gurov AV, Muzhichkova AV. Rational approach to the treatment of otitis externa. Russkij medicinskij zhurnal. 2022;6(7):404-410. (In Russ.). https://doi.org/10.32364/2587-6821-2022-6-7-404-410
  5. Khatri H, Huang J, Guazzo E, Bond C. Review article: Topical antibiotic treatments for acute otitis externa: Emergency care guidelines from an ear, nose and throat perspective. Emergency Medicine Australasia. 2021;33(6):961-965.  https://doi.org/10.1111/1742-6723.13874
  6. Naruzhnye otity. Klinicheskie rekomendatsii. 2021. Accessed 20.09.2024. (In Russ.). https://cr.minzdrav.gov.ru/schema/663_1
  7. Mosikhin SB, Bezbryazov AV, Pokrovskaya EM. An overview of the classifications of otitis externa from the perspective of their optimization. Prakticheskaya meditsina. 2015;2(87):109-113. (In Russ.).
  8. Simanovskii NP. Lektsii po ushnym i nosovym boleznyam. Saint Petersburg, 1914. (In Russ.).
  9. Friedmann HC, Hinkel CL. External otitis, studies of comparative merite of medical therapy. Archives of Otolaryngology. 1941;33:749-757. 
  10. Kosyakov SYa, Kurlova AV. Inflammatory diseases of the external auditory passage and methods for their treatment. Russian Bulletin of Otorhinolaryngology. 2011;(1):81-84. (In Russ.).
  11. Gaydina TA, Dvornikov AS, Kriukov AI, Shadrin GB, Munzalevskaya YD, Patsap OI. Skin lesion of external auditory canal in a patient with seborrheic dermatitis. Vestnik dermatologii i venerologii. 2024;100(5). (In Russ.). https://doi.org/10.25208/vdv16772
  12. Hertz J, Felding UA, Astvad KMT, Eriksen HB, Ingolfsdottir HM, Kirchmann M. Otitis externa. Ugeskrift for Laeger. 2024;186(7):V05230339. https://doi.org/10.61409/V05230339
  13. Gaydina TA, Munzalevsky YuD, Silin AA. Interdisciplinary approach to prevention of otitis externa recurrence in patients with underlying dermatological diseases. Farmateka. 2024;31(10):25-28. (In Russ.). https://doi.org/10.18565/pharmateca.2024.10.25-28
  14. Pesqué D, Aerts O, Bizjak M, Gonçalo M, Dugonik A, Simon D, Ljubojević-Hadzavdić S, Malinauskiene L, Wilkinson M, Czarnecka-Operacz M, Krecisz B, John SM, Balato A, Ayala F, Rustemeyer T, Giménez-Arnau AM. Differential diagnosis of contact dermatitis: A practical-approach review by the EADV Task Force on contact dermatitis. Journal of the European Academy of Dermatology and Venereology. 2024;38(9):1704-1722. https://doi.org/10.1111/jdv.20052
  15. Dermatit kontaktnyi. Klinicheskie rekomendatsii. 2024. Accessed 26.09.2024. (In Russ.). https://cr.minzdrav.gov.ru/schema/213_3
  16. Coppola-Fasick G, Nazario S. Recurrent otitis externa owing to allergic contact dermatitis to topical medications. Annals of Allergy, Asthma and Immunology. 2020;125(5):616-617.  https://doi.org/10.1016/j.anai.2020.07.017
  17. Criado PR, Miot HA, Bueno-Filho R, Ianhez M, Criado RFJ, de Castro CCS. Update on the pathogenesis of atopic dermatitis. Anais Brasileiros de Dermatologia. 2024;99(6):895-915.  https://doi.org/10.1016/j.abd.2024.06.001
  18. Lugović-Mihić L, Meštrović-Štefekov J, Potočnjak I, Cindrić T, Ilić I, Lovrić I, Skalicki L, Bešlić I, Pondeljak N. Atopic Dermatitis: Disease Features, Therapeutic Options, and a Multidisciplinary Approach. Life (Basel, Switzerland). 2023;13(6):1419. https://doi.org/10.3390/life13061419
  19. Klinicheskie rekomendatsii. Ekzema. 2024. Accessed 24.09.2024. (In Russ.). https://cr.minzdrav.gov.ru/schema/246_3
  20. Lax SJ, Van Vogt E, Candy B, Steele L, Reynolds C, Stuart B, Parker R, Axon E, Roberts A, Doyle M, Chu DK, Futamura M, Santer M, Williams HC, Cro S, Drucker AM, Boyle RJ. Topical anti-inflammatory treatments for eczema: network meta-analysis. The Cochrane Database of Systematic Reviews. 2024;8(8):CD015064. https://doi.org/10.1002/14651858.CD015064.pub2
  21. Afshari M, Kolackova M, Rosecka M, Čelakovská J, Krejsek J. Unraveling the skin; a comprehensive review of atopic dermatitis, current understanding, and approaches. Frontiers in Immunology. 2024;15:1361005. https://doi.org/10.3389/fimmu.2024.1361005
  22. Psoriaz. Klinicheskie rekomendatsii. 2023. Accessed 20.10.2024. (In Russ.). https://cr.minzdrav.gov.ru/recomend/234_2
  23. Man AM, Orăsan MS, Hoteiuc OA, Olănescu-Vaida-Voevod MC, Mocan T. Inflammation and Psoriasis: A Comprehensive Review. International Journal of Molecular Sciences. 2023;24(22):16095. https://doi.org/10.3390/ijms242216095
  24. Garvey C, Garvey K, Hendi A. A review of common dermatologic disorders of the external ear. Journal of the American Academy of Audiology. 2008;19(3):226-232.  https://doi.org/10.3766/jaaa.19.3.6
  25. Seboreynyy dermatit. Klinicheskie rekomendatsii. 2022. Accessed 26.09.2024. (In Russ.). https://cr.minzdrav.gov.ru/schema/215_2
  26. Tucker D, Masood S. Seborrheic Dermatitis. Treasure Island (FL): StatPearls Publishing. 2023. Accessed 26.09.2024. https://www.ncbi.nlm.nih.gov/books/NBK551707
  27. Hopsu E, Pitkäranta A. Idiopathic, inflammatory, medial meatal, fibrotising otitis presenting with lichen planus. The Journal of Laryngology and Otology. 2007;121(8):796-799.  https://doi.org/10.1017/S0022215107006652
  28. Chioveanu FG, Niculet E, Torlac C, Busila C, Tatu AL. Beyond the Surface: Understanding Demodex and Its Link to Blepharitis and Facial Dermatoses. Clinical Ophthalmology. 2024;18:1801-1810. https://doi.org/10.2147/OPTH.S440199
  29. Kubanov AA, Gallyamova YuA, Grevtseva AS. Demodekoz. Lechashchii vrach. 2014;11:1-7. (In Russ.).
  30. Bilal N, Kirişci Ö, Özkaya E. Demodex Species Infestation in Patients with Ear Itching and Its Relationship to Itch Severity. Turkiye Parazitolojii Dergisi. 2017;41(2):87-91.  https://doi.org/10.5152/tpd.2017.5070
  31. Djalilian HR, Memar O. Topical pimecrolimus 1% for the treatment of pruritic external auditory canals. The Laryngoscope. 2006;116(10):1809-1812. https://doi.org/10.1097/01.mlg.0000231562.83733.53
  32. Babakurban ST, Topal O, Aydin E, Hizal E, Copur S, Ekici MD. Therapeutic effect of Castellani’s paint in patients with an itchy ear canal. The Journal of Laryngology and Otology. 2016;130(10):934-938.  https://doi.org/10.1017/S0022215116008744
  33. Tuzuner A, Akdagli S, Sen T, Demirci S, Tarimci N, Caylan R. An objective analysis of sebum, pH and moisture levels of the external ear canal skin. American Journal of Otolaryngology. 2015;36(3):424-428.  https://doi.org/10.1016/j.amjoto.2015.02.003
  34. Dominic SP, Patial A, Shah R. Keratosis obturans masquerading as cholesteatoma — A case report. IP Journal of Otorhinolaryngology and Allied Science. 2022;5(1):17-20.  https://doi.org/10.18231/j.ijoas.2022.005
  35. Dalton SR, Ferringer T, Mowad CM. Obstruction of the external auditory canal by a keratin cast: Keratosis obturans or cholesteatoma? Journal of the American Academy of Dermatology. 2011;65(3):e88-e89.  https://doi.org/10.1016/j.jaad.2011.02.041
  36. Lesser THJ. Keratosis obturans and primary auditory canal cholesteatoma. Otolaryngol Head and Neck Surgery. 2008;7:3342-3345.
  37. Harounian JA, Patel VA, Isildak H. Contemporary management of keratosis obturans: a systematic review. The Journal of Laryngology and Otology. 2021;135(9):759-764.  https://doi.org/10.1017/S0022215121001912
  38. Persaud RA, Hajioff D, Thevasagayam MS, Wareing MJ, Wright A. Keratosis obturans and external ear canal cholesteatoma: how and why we should distinguish between these conditions. Clinical Otolaryngology and Allied Sciences. 2004;29(6):577-581.  https://doi.org/10.1111/j.1365-2273.2004.00898.x
  39. Piepergerdes MC, Kramer BM, Behnke EE. Keratosis obturans and external auditory canal cholesteatoma. The Laryngoscope. 1980;90(3):383-391.  https://doi.org/10.1002/lary.5540900303
  40. Naiberg J, Berger G, Hawke M. The pathologic features of keratosis obturans and cholesteatoma of the external auditory canal. Archives of Otolaryngology. 1984;110(10):690-693.  https://doi.org/10.1001/archotol.1984.00800360062016
  41. Guo L, Yang Y, Liu J, Su Y, Cai Z. Treatment of external auditory canal stenosis and atresia after transcanal endoscopic ear surgery. American Journal of Otolaryngology. 2024;45(2):104175. https://doi.org/10.1016/j.amjoto.2023.104175
  42. Soucek S, Michaels L. Keratosis of the tympanic membrane and deep external auditory canal. A defect of auditory epithelial migration. European Archives of Otorhinolaryngology. 1993;250(3):140-142.  https://doi.org/10.1007/BF00171698
  43. Kondratchikov DS, Diab KhM, Korvyakov VS, Terekhina LI. Acquired atresia and stenosis of the external acoustic meatus. Russian Bulletin of Otorhinolaryngology. 2017;82(3):69-74. (In Russ.). https://doi.org/10.17116/otorino201782369-74
  44. Becker BC, Tos M. Postinflammatory acquired atresia of the external auditory canal: treatment and results of surgery over 27 years. The Laryngoscope. 1998;108(6):903-907.  https://doi.org/10.1097/00005537-199806000-00021
  45. Dhooge I, D’hoop M, Loose D, Acke F. Acquired atresia of the external auditory canal: long-term clinical and audiometric results after surgery. Otology and Neurotology. 2014;35(7):1196-1200. https://doi.org/10.1097/MAO.0000000000000317
  46. Magliulo G. Acquired atresia of the external auditory canal: recurrence and long-term results. The Annals of Otology, Rhinology, and Laryngology. 2009;118(5):345-349.  https://doi.org/10.1177/000348940911800505
  47. Kriukov AI, Gurov AV, Shadrin GB, Izotova GN, Zotova PK. Efficacy and safety of topical combination therapy in patients with acute otitis externa. Terapevticheskii arkhiv. 2023;95(11):937-942. (In Russ.). https://doi.org/10.26442/00403660.2023.11.202455
  48. Li LY, Cruz PD Jr. Allergic contact dermatitis: pathophysiology applied to future therapy. Dermatologic Therapy. 2004;17(3):219-223.  https://doi.org/10.1111/j.1396-0296.2004.04023.x
  49. Kolbe L, Kligman AM, Schreiner V, Stoudemayer T. Corticosteroid-induced atrophy and barrier impairment measured by non-invasive methods in human skin. Skin Research and Technology. 2001;7(2):73-77.  https://doi.org/10.1034/j.1600-0846.2001.70203.x
  50. Shao Y, He T, Fisher GJ, Voorhees JJ, Quan T. Molecular basis of retinol anti-ageing properties in naturally aged human skin in vivo. International Journal of Cosmetic Science. 2017;39(1):56-65.  https://doi.org/10.1111/ics.12348
  51. Kong R, Cui Y, Fisher GJ, Wang X, Chen Y, Schneider LM, Majmudar G. A comparative study of the effects of retinol and retinoic acid on histological, molecular, and clinical properties of human skin. Journal of Cosmetic Dermatology. 2016;15(1):49-57.  https://doi.org/10.1111/jocd.12193
  52. Romdhoni A. Keratosis Obturans Management. Biomolecular and Health Science Journal. 2018;1(1):75-79.  https://doi.org/10.20473/bhsj.v1i1.8212
  53. Kmeid M, Nehme J. Post-inflammatory acquired atresia of the external auditory canal. Journal of Otology. 2019;14(4):149-154.  https://doi.org/10.1016/j.joto.2019.07.002
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.