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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
Assessment and management of chronic otitis externa.
Kesser BW
Curr Opin Otolaryngol Head Neck Surg 2011 Oct;19(5):341-7. doi: 10.1097/MOO.0b013e328349a125. PMID: 21804382
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

Recent clinical studies

Etiology

Fungal infections in Algeria.
Aissat FZ, Denning DW
Mycoses 2023 Jul;66(7):594-603. Epub 2023 Apr 2 doi: 10.1111/myc.13585. PMID: 37005355
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
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
Ear infections: otitis externa and otitis media.
Lee H, Kim J, Nguyen V
Prim Care 2013 Sep;40(3):671-86. Epub 2013 Jun 29 doi: 10.1016/j.pop.2013.05.005. PMID: 23958363

Diagnosis

Acute Otitis Externa: Rapid Evidence Review.
Jackson EA, Geer K
Am Fam Physician 2023 Feb;107(2):145-151. PMID: 36791445
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
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

Therapy

Acute Otitis Externa: Rapid Evidence Review.
Jackson EA, Geer K
Am Fam Physician 2023 Feb;107(2):145-151. PMID: 36791445
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
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
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

Prognosis

Fungal infections in Algeria.
Aissat FZ, Denning DW
Mycoses 2023 Jul;66(7):594-603. Epub 2023 Apr 2 doi: 10.1111/myc.13585. PMID: 37005355
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
Diabetes in the practice of otolaryngology.
Cohen Atsmoni S, Brener A, Roth Y
Diabetes Metab Syndr 2019 Mar-Apr;13(2):1141-1150. Epub 2019 Jan 17 doi: 10.1016/j.dsx.2019.01.006. PMID: 31336457
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
Ear infections: otitis externa and otitis media.
Lee H, Kim J, Nguyen V
Prim Care 2013 Sep;40(3):671-86. Epub 2013 Jun 29 doi: 10.1016/j.pop.2013.05.005. PMID: 23958363

Clinical prediction guides

Prediction of skull base osteomyelitis in necrotising otitis externa with diffusion-weighted imaging.
Abdel Razek AAK, Mahmoud W
J Laryngol Otol 2020 May;134(5):404-408. Epub 2020 Jun 5 doi: 10.1017/S0022215120001073. PMID: 32498734
Pseudomonas aeruginosa dose response and bathing water infection.
Roser DJ, van den Akker B, Boase S, Haas CN, Ashbolt NJ, Rice SA
Epidemiol Infect 2014 Mar;142(3):449-62. Epub 2013 Nov 8 doi: 10.1017/S0950268813002690. PMID: 24229610Free PMC Article
Otitis externa.
Hajioff D, Mackeith S
BMJ Clin Evid 2010 Aug 3;2010 PMID: 21418684Free PMC Article
Prognostic scoring in necrotising otitis externa.
Eveleigh MO, Hall CE, Baldwin DL
J Laryngol Otol 2009 Oct;123(10):1097-102. Epub 2009 Jul 9 doi: 10.1017/S0022215109990491. PMID: 19586581
Otitis externa.
Hajioff D, Mackeith S
BMJ Clin Evid 2008 Jun 26;2008 PMID: 19450296Free PMC Article

Recent systematic reviews

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
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
Hyperbaric oxygen as an adjuvant treatment for malignant otitis externa.
Phillips JS, Jones SE
Cochrane Database Syst Rev 2013 May 31;2013(5):CD004617. doi: 10.1002/14651858.CD004617.pub3. PMID: 23728650Free PMC Article
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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