Common ear diseases

1. Detection of Common Ear
Diseases in the Community
1
SH2030: Secondary Level Training Module.3.1
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2. Objectives
• To sensitize the trainees regarding the
common ear problems faced in the
community and their causes.
• To understand the importance of common
ear diseases.
• To inform them regarding suitable guidance
to be given to patients with ear problems.
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SH2030: Secondary Level Training Module.3.1 2

3. Common ear problems
• Pain in the ear
• Discharge from the ear
• Heaviness/Blockage in the ear
• Itching in the ear
• Hearing Loss (discussed in next lecture)
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4. Ear Pain
Causes:
• Wax Impacted in the ear
• Acute infection of the outer part of the ear
• Acute Infection of the Ear drum and Middle part
of the ear.
• Fluid in the ear
• Fungal infection of the ear
• Foreign body in the ear
• Injury over the ear
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SH2030: Secondary Level Training Module.3.1 4

5. Ear Wax
Wax is a normal
secretion of the ear.
At times, it can
accumulate and cause
• pain
• hearing loss
• Sensation of blockage
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6. Ear Wax
Some amount of wax is
normal.
Excessive wax should be
treated a doctor:
• Wax softeners (if
impacted) to be given
two-three times in a
day and followed by
wax removal
No role for:
•Use of ear buds
•Putting oil in the ear
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7. Syringing
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8. Acute Ear Infections
Outer ear
Ear drum & Middle ear Brought to you by
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9. Acute Ear Infections
• Acute infection of the
ear can lead to:
– Pain in the ear
– Fever
– Tenderness on
touching the ear
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10. Ear Infections
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11. If untreated, it can lead to: Rupture of the Ear
drum which may cause permanent damage
(permanent perforation & Chronic OM). It can
lead to discharging ear.
Early treatment of acute ear infection can save many
children from developing Discharging eBarrosu.ght to you by
SH2030: Secondary Level Training Module.3.1 11

12. Injury over the ear
• Slaps over the ear
• Falls
• Injury over the ear
Can lead to rupture of
the ear drum.
This can be PREVENTED Brought to you by
SH2030: Secondary Level Training Module.3.1 12

13. Foreign body in the EAC
• Common in children
• MUST BE
REMOVED
URGENTLY
Educate the children NOT to
put anything in their ears,
nose or mouth.
In case they do, send them to
a doctor immediately Brought to you by
SH2030: Secondary Level Training Module.3.1 13

14. Heaviness/Blockage in the ear:
Glue Ear/Secretory Otitis Media
• Is a disease of the ear,
wherein there is
accumulation of
sticky fluid in the
middle ear.
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SH2030: Secondary Level Training Module.3.1 14

15. Secretory Otitis media
(Glue Ear)
• Such a child may complain of:
- Occasional pain in the ear
- Heaviness in the ear
• May have NO complaints, as there may be only mild hearing
loss. But This can lead to:
- Poor speech development in the child
- Poor Performance in school
Treatment required may be Medical or Surgical. It can be
decided on examination by the doctor.
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SH2030: Secondary Level Training Module.3.1 15

16. Untreated OME
Can lead to:
• Speech problems
• Poor performance in school
• Dull child
If the child’s speech is not clear or he is
not paying attention in school, one
possible cause may be mild hearing loss
due to OME. It MUST be ruled out.
REFER
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SH2030: Secondary Level Training Module.3.1 16

17. SUSPECT OME if….
• The child complains of persistent or recurrent pain
or discomfort in the ear.
• Child is asking to raise the volume of TV etc.
• Child asks you to repeat your words again & again
• Child’s academic performance has gone down.
• Child is not developing clear speech.
REFER
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SH2030: Secondary Level Training Module.3.1 17

18. Itching in the ear
• A very common problem in the community.
• It can be caused by fungal infections of the
ear, common during rainy season.
In case of persistent itching associated with
discharge, pain: REFER for ear check up
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