[Source: Health Lin’an]
Dr. Zhou, my left ear is itchy, I always want to dig it out, and it’s a little stuffy, what’s going on? ah?
Hello, according to your description, your ear canal may have mold.
< /img>Huh? How can mold grow in the ear canal?
You come to the outpatient clinic tomorrow for a check, so I can make a clear diagnosis and take medicine.
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Mycosis of the external auditory canal
Recently,Mr. Wang, who lives in Changhua Town, went to the district because of itching in the ear canal The Fourth People’s Hospital’s ENT department went to see a doctor. The doctor further checked through an otoscope and found that Mr. Wang’s ear canal was covered with “white hyphae”. It turns out that Mr. Wangis a senior “ear-picking enthusiast”. He likes ear-picking in his spare time, and he feels very comfortable. According to the patient’s condition description and examination results, the doctor confirmed that Mr. Wang’s ear canal “mold” was a fungal disease of the external auditory canal caused by excessive ear picking and unclean ear picking equipment.
01
Why do fungi grow in the ear canal?
Mycosis of the external auditory canal also known as fungal external auditory canal Inflammation refers to the pathogenic conditions in which fungi invade the external auditory canal or the external auditory canal, resulting in the growth and reproduction of fungi, resulting in acute or chronic inflammatory lesions.
1. Environmental factors: Fungi breed faster in warm and humid environments.
2. Immune factors: In normal organisms, the immune system can resist the invasion of foreign pathogenic microorganisms. However, when the body is in a state of severe malnutrition for a long time, improper use and abuse of antibiotics for a long time, and diseases with immune system deficiency, the body’s immune function is suppressed, creating conditions for the growth and reproduction of fungi.
3. Anatomical factors: The external auditory canal is a long and narrow “canal” with one end closed and one end open.
4. Lifestyle factors: Under normal circumstances, the external auditory canal is slightly acidic, while Frequent ear picking, frequent swimming, etc. will change the PH value of the external auditory canal. In addition, frequent ear picking will disrupt the normal skin barrier, which provides conditions for fungal invasion. In addition, the history of unclean ear picking was also highly correlated with mycosis of the external auditory canal.
02
What are the symptoms of mycosis of the external auditory canal?
Mild cases are asymptomatic or only have external auditory canal discomfort. Itching is the most common symptom. If the lesion is larger or deeper, there will be local pain. Due to the proliferation of fungi, they accumulate to form clumps, which will block the external auditory canal and cause occluded ear stuffiness. Some fungal infections cause low to moderate fever throughout the body. It is worth noting that some external auditory canal mycosis will be accompanied by bacterial infection, ear canal pus and so on. Severe fungal infections can also lead to peripheral facial paralysis, and patients with special constitutions may even develop necrotizing otitis externa.
03
What harm can mycosis of the external auditory canal cause?
Common complications include tympanic membrane perforation, serous otitis media, Osteitis of the external auditory canal, etc., will be accompanied by symptoms such as headache, dizziness, hearing loss, chills and fever. Only a small number of patients will develop malignant external auditory canal mycosis, which will be complicated by mastoiditis, petrositis, labyrinthitis, facial paralysis, conductive or sensorineural hearing loss, and meningitis.
04
How to treat mycosis of the external auditory canal?
In clinical practice, most of them are difficult to cure, easy to relapse, and easy to contagious. Try to achieve early prevention, early detection, early diagnosis, and early treatment.
1. Topical treatment
Topical antifungal drugs: after thorough debridement of the external auditory canal After the fungal crusts and secretions are removed, local application of antifungal drugs should be applied to the deep part of the ear canal without damaging the tympanic membrane. Therefore, it is impossible to operate on your own. And keep the external auditory canal dry and avoid frequent ear picking.
2. Systemic therapy
Intravenous antifungal drugs can be given if necessary for severe disease treat.
05
How to prevent mycosis of the external auditory canal?
1. Develop good living habits and avoid frequent digging Ears, remember to avoid using unclean tools to pick ears, etc.
2. Minimize the chance of water entering the external auditory canal and avoid the external auditory canal being kept wet for a long time.
3. Use antibiotics and hormones rationally under the guidance of doctors to avoid abuse.
Source/District Fourth People’s Hospital< /p>
Edit/Romantic
Review/Huang Shan
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