Otomycosis (Fungal Infection Of External Auditory Canal)

Body Parts: Head
Medical Subjects: Ear, Nose And Throat

Otomycosis Meanings

Otomycosis externa is a fungal infectious disease of the external auditory canal.


What Is The Cause Of Otomycosis

Fungi tend to grow and reproduce in warm and humid environment. Fungal infection is more common when water enters the external auditory canal or secretions are accumulated. Fungi such as penicillin, aspergillus and candida albicans are common.


Symptoms Of External Auditory Canal Mycosis

Itching in the ears, and some patients will feel very itchy, especially at night. During examination, the external auditory canal and tympanic membrane can be seen covered by a layer of yellow or white powder or villous lichen membrane. After removal, the affected area can be seen slightly reddening and damp. When co-infected with other bacteria, there will be symptoms such as earache and pus.

Some patients with milder infections may have no symptoms and are found abnormal only on examination.


How To Check For Fungal Disease Of The External Auditory Canal

The scab skin extracted from the ear canal was used as a smear, and 1–2 drops of 10% sodium hydroxide (potassium) solution was added, so that the hyphae and spores could be seen under the microscope. It can also be examined by fungal culture.


How To Prevent Fungal Diseases Of External Auditory Canal

Abstain from the habit of ear-digging, especially from using unclean things.

Keep the external auditory canal clean and dry.

Actively treat suppurative otitis media, appropriate and effective use of antibiotic ear drops.


How To Treat Fungal Infection Of External Auditory Canal

Remove all crust and secretions from the external auditory canal and optionally apply one of the following solutions to the infected ear canal.

  • 1~2% Salicylic acid alcoholic solution
  • 1~2% Thymol Alcohol
  • 1:1000 Dodecyl dimethyl benzyl ammonium bromide alcoholic solution

In addition, nystatin can also be sprayed on the external auditory canal if it is not applied with solution. Try to keep the external auditory canal dry during treatment.

Since everyone's specific situation is not exactly the same, the above treatments are for reference only. You should go to the hospital and ask the doctor, who will provide a suitable treatment for you according to your condition.


The Difference Between Otomycosis And Chronic External Auditory Canal Inflammation

Chronic otitis externa has only the sensation of discomfort or itching, and the skin of the ear canal is reddening or thickened and covered with pus crust but without the growth of mildew moss, which can be distinguished by bacterial culture or microscopic examination.

Otitis externa is acute or chronic inflammation of the skin in the external auditory canal. The patient feels itchy and burning sensation in the ear. Pain in the ear is felt only when the temporomandibular joint moves. At first, the secretion is a thin serous secretion which gradually becomes thick.

Fungal infection of the external auditory canal showed a bluish-smoke-colored, black or yellowish-white mold coating, with visible hyphae, and the area where it contacted the skin was in the shape of a crust.

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