最近审阅: 24 十月 2020
最近更新: 23 十月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 耳痛
  • 耳屏触痛
  • 外耳道肿胀和红斑
  • 外耳道肉芽组织(恶性外耳道炎)

其他诊断因素

  • 耳漏
  • 耳胀满感
  • 瘙痒
  • 听力下降
  • 红斑性鼓膜

危险因素

  • 外耳道阻塞
  • 高湿度环境
  • 较高的环境温度
  • 游泳
  • 局部外伤
  • 化学刺激剂
  • 过敏
  • 皮肤病
  • 糖尿病
  • 免疫功能低下
  • 抗菌素滴耳剂的长期使用

诊断性检查

首要检查

  • 鼓气耳镜检查
  • 声导抗检查
更多 首要检查

需考虑的检查

  • 耳分泌物培养
  • 外耳道分泌物/碎屑的显微镜检查
  • 静脉使用对比剂的颞骨 CT 扫描
  • 脑部和内听道 MRI(可使用和不使用钆)
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Otology-Neurotology

Ear, Nose and Throat Associates of New York

Flushing

New York

NY

利益声明

SG declares that she has no competing interests.

同行评议者展开全部内容

Professor Neurological Surgery

Chief of Pediatric Otology

Otolaryngology Head and Neck Surgery

UT Southwestern Medical Center

Dallas

TX

利益声明

PSR has acted as a consultant to Alcon laboratories, makers of Ciprodex®, who have provided compensation to the University of Texas Southwestern Medical Center Department of Otolaryngology Head and Neck Surgery. PSR has received compensation for speaking and for organizing educational events. PSR is co-author of the American Academy of Head and Neck Surgery's practice guideline for AOE. PSR is an author of references cited in this topic.

Emeritus Professor of Otolaryngology

UCL Ear Institute

London

UK

利益声明

AW declares that he has no competing interests.

Director ENT Unit

North Bristol NHS Trust

Honorary Reader in Otolaryngology

University of Bristol

Bristol

UK

利益声明

DAN declares that he has no competing interests.

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