The ear is a basic organ for relating to the environment . Sounds travel through the air in the form of vibrations, which reach our ears, which transform them into nerve impulses and send these to the brain, which translates these nerve signals into the sounds we feel. In addition, the ear is in charge of controlling balance. However, given its delicacy, the ear is susceptible to various disorders that, despite being usually mild, can lead to hearing problems and even deafness. In this article we will see some of the disorders that we can suffer in the ear most commonly , explaining both their causes and symptoms, as well as the treatments associated with these diseases.

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The 18 most common ear diseases (causes, symptoms and treatment)
The ear is a very sensitive organ, so it is susceptible to different diseases. Let's see them.

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The ear is a basic organ for relating to the environment . Sounds travel through the air in the
form of vibrations, which reach our ears, which transform them into nerve impulses and send
these to the brain, which translates these nerve signals into the sounds we feel. In addition, the
ear is in charge of controlling balance.
However, given its delicacy, the ear is susceptible to various disorders that, despite being
usually mild, can lead to hearing problems and even deafness.
In this article we will see some of the disorders that we can suffer in the ear most commonly ,
explaining both their causes and symptoms, as well as the treatments associated with these
diseases.
Otolaryngology: what is it and what does it study?
With an almost unpronounceable name, otorhinolaryngology is the branch of medicine that
studies the physiology and anatomy of the ear, nose, and throat , as they are three closely
interconnected structures, so they must be analyzed together.
This discipline is divided into sub specialties. Audiology is the one that studies the alterations
that we can suffer in the ears, as well as both infectious and non-infectious diseases that
usually compromise people's hearing.
Therefore, in this article we will look at some of the conditions that otolaryngologists typically
face.

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The 18 most common ear diseases
We tend to think that the only disorders we can suffer in the ears are otitis and deafness, but the
truth is that there are many other diseases that can endanger our ability to capture sounds .
Here are the 18 most common ear diseases in humans.
1. External otitis
Otitis externa is the most common hearing disorder and consists of an inflammation of the
outer part of the ear . It is caused by a bacterial or fungal (yeast) infection of the external ear
canal.
It is usually caused by swimming in water contaminated by these pathogens, which reach the
ears when the person is submerged in the water. The main symptomatology is earache,
although redness of the ear and swelling of the lymph nodes that are around it are also
common. Fever and hearing loss are not common.
Treatment consists of applying antibiotic ear drops, which are applied for a week until the
infection resolves.
2. Acute otitis media
Acute otitis media consists of an infection of the middle ear, located behind the eardrum , by
bacteria or viruses. It is caused by a blockage of the Eustachian tube, which is responsible for
draining fluid, but if it becomes clogged, it can lead to the growth of pathogens that will lead to
infection.

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Being acute, this otitis media consists of a short episode but with a lot of earache. The
symptoms are similar to external otitis, although here the pain is greater. The problem with otitis
media is that the causative germs can spread to other structures in the head, so it is important
to treat it quickly.
To avoid causing hearing problems, otitis media is treated in the same way as external, with the
application of antibiotic ear drops.
3. Secretory otitis media
Secretory otitis media develops when the acute otitis media has not completely resolved , so
there is still excess fluid in the middle ear.
The main symptomatology is that there is a certain loss of hearing due to the plugging of the
Eustachian tubes, which hinder the movement of the eardrum, so it does not capture vibrations
well. In addition, those affected often have a feeling of congestion in the ear and notice clicking
sounds when swallowing.
Treatment consists of applying decongestants and performing maneuvers to regain pressure in
the ear, as the plugging makes it too low. If this doesn't resolve, an ear may need to be drained.
4. Chronic otitis media
When episodes of otitis media persist and recur periodically, we speak of chronic otitis media. It
usually occurs when the liquid is not eliminated, which causes continuous reinfections by
bacteria and viruses.

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In addition to the symptoms of an episode of otitis media, the chronic one ends up causing
permanent damage to the ears: affections in the mastoid bone behind the ear, ear secretions,
hardening of the ear tissue, formation of cysts ... Hearing, at the same time long, it may be
compromised.
5. Ménière's disease
Ménière's disease is an inner ear disorder caused by fluid build-up in the inner ear , although it is
not known what causes this to occur.
This condition is characterized by episodes of vertigo and dizziness. In addition, it can cause
hearing loss, a feeling of plugging, the perception of ringing in the ears, etc.
There is no cure for this disease, so treatments (medications to prevent dizziness and nausea)
are aimed at reducing the severity of symptoms.
6. Vestibular neuritis
Vestibular neuritis consists of an inflammation of the vestibular nerve , which is located in the
inner ear and is responsible for controlling balance.
This inflammation is caused by the infection of a virus and the symptoms usually consist of a
vertigo crisis that lasts between 7 and 10 days. This bout of dizziness can be accompanied by
nausea, vomiting, and rapid jerking of the eyes from nerve damage.

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Being caused by a virus, it cannot be treated with antibiotics. Treatment consists of relieving the
symptoms of vertigo and dizziness, in addition to applying intravenous fluids to prevent
dehydration if vomiting is very frequent.
7. Presbycusis
Presbycusis is the gradual loss of hearing . It is very common for it to appear with age. In fact,
one third of people over 65 have hearing loss.
This disorder is caused by aging itself, although the lifestyle that the person has led has a great
influence. Hearing loss is never total, although symptoms include: difficulty in carrying on a
conversation, trouble picking up soft sounds, muffling of speech, asking people to speak slowly,
etc. Ultimately, it compromises the sociability of the person.
The damage to the ears is irreversible, so the lost hearing cannot be recovered. Treatment
consists of applying hearing aids, devices that are placed in the ear and that amplify sounds.
8. Cofosis
Kphosis is the most serious form of deafness . Those affected cannot perceive any sound, that
is, there is a total loss of hearing. It is less common than presbycusis.
The most common cause is genetics, although it can also be due to other diseases or trauma,
especially if they affect the auditory nerve.

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Treatment consists of applying a cochlear implant, a device that is implanted by surgery when
hearing aids are not enough. The cochlear implant allows people with cofosis to receive and
process sounds.
9. Tinnitus
Tinnitus (or tinnitus) is an auditory disorder characterized by the recurrent perception of noise or
buzzing in the ear . It is very common, since it affects more or less recurrently 20% of the
population.
The causes are extremely varied, although they are generally related to disorders of the inner
ear. Many times the origin is unknown. The main symptom is that the person hears noise or
humming even though there is no sound around them.
Although it is not serious, tinnitus can be very annoying and compromise the quality of life of
those affected, especially if the episodes are very recurrent and / or also occur at night, in which
case there are usually problems sleeping.
Treatment consists of solving the trigger that has led to tinnitus (for example a wax plug),
although if this is not possible, the doctor may recommend the use of devices that inhibit noise,
such as hearing aids or white noise machines .
10. Barotrauma of the ear
A barotrauma is damage to the ear when the body experiences very sudden pressure changes ,
especially when traveling by plane or diving.

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The ear is very sensitive to these pressure variations. Symptoms, which usually go away quickly,
are as follows: pain, plugged ears, dizziness, and sometimes hearing loss.
There is no treatment, as it is the body's response to pressure changes. Yawning or chewing
gum can prevent symptoms from appearing.
11. Otosclerosis
Otosclerosis is an abnormal growth of the bones of the middle ear . The cause is unknown,
although it is believed that it could be hereditary.
The symptoms of this bone malformation are the following: progressive hearing loss, dizziness,
dizziness, tinnitus, etc. Otosclerosis slowly worsens, but hearing loss can be significant.
Being genetic, there is no cure. Treatments with calcium or vitamin D can slow down hearing
loss, although this is not entirely substantiated. When the disease has progressed a lot, hearing
aids and even surgery on the affected bones (replacing them with a prosthesis) can be helpful.
12. Perichondritis
Perichondritis is an infection of the epithelial tissue that surrounds the cartilage of the ears . It is
usually caused by bacteria of the genus "Pseudomonas", which manage to grow when there are
traumatic lesions in the ear that compromise the structure of the perichondrium, which is the
layer of skin above the cartilage.
Symptoms include: pain, inflammation and redness of the ear and, occasionally, fever and even
suppurations from the wound site.

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Treatment consists of antibiotics, although if too much pus collects, drainage surgery may be
necessary.
13. Osteoma
An osteoma is a benign tumor (not cancer) that appears in any type of bone in the body . They
are not a health hazard nor do they spread to other organs. They always stay in the same place.
Despite being more common in other bones of the body, osteomas can appear in the eardrum
bone. This causes hearing loss, an increased likelihood of ear infections and pain.
Tumors are usually very small and not too much of a problem, although if they are larger than
normal and severely compromise hearing, surgery may be necessary.
14. Acoustic trauma
Acoustic trauma is injury to the inner ear due to exposure to very loud noise . It is a very
common cause of deafness since the eardrum is very sensitive to vibrations greater than what it
can withstand.
The main symptomatology is hearing loss, although tinnitus is also very common. The damage
is irreversible, so treatment is only applied if the damage to the eardrum is extremely large and
surgery is required.

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15. Earwax plugs
In the ear there are glands that produce wax, which protects the ear from irritation by water and
dust and pathogens. However, some people produce more than normal and this wax can harden
and block the ear canal, forming a wax plug.
Failure to remove excess wax can lead to earache, a feeling of plugging, tinnitus, and even
hearing loss. Treatment can be administered at home and consists of applying drops, although
if the problem persists, a doctor can wash to remove excess earwax.
16. Exostosis
Auditory exostosis is an ear disorder that appears from prolonged exposure to cold water .
Therefore, it is a very common condition in surfers.
Exostosis is characterized by the formation of protrusions in the temporal bone of the skull, a
circumstance that can obstruct the ear canal and make it more prone to otitis and other ear
diseases.
The treatment is surgical, so it is recommended to prevent the development of this disorder by
using ear plugs when you are going to repeatedly come into contact with cold water.
17. Othematoma
Othematoma, also known as "cauliflower-shaped ear," is a disorder that results from frequent
injuries to cartilage, especially from heavy trauma. Therefore, it is common in boxers.

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This damage to the cartilage of the ear is accompanied by internal bleeding and the appearance
of scar tissue, which ends up causing hearing loss.
The injuries are irreversible, so the only possible treatment is to perform surgery, although it
cannot always be done.
18. Seborrheic dermatitis
Seborrheic dermatitis is a fairly common skin disease caused by a fungal infection , although it
is sometimes due to a malfunction of the immune system. Despite being more common on the
scalp, face and nose, seborrheic dermatitis can also affect the skin of the ears.
Symptoms include redness and itching, which can be very annoying. There is no hearing loss as
it does not affect the internal canals of the ear. In addition, it usually disappears without the
need for treatment. Personal hygiene is the best way to prevent its appearance.
Bibliographic references
● Black, B. (2000) "An Introduction to Ear Disease". International Journal of Audiology.
● Minovi, A., Dazert, S. (2014) "Diseases of the Middle Ear in Chilhood".
Laryngo-Rhino-Otologie.
● Centers for Disease Control and Prevention (2019) “Preventing and Treating Ear
Infections”. CDC.

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