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OTITIS EXTERNA (SWIMMER'S EAR) WHAT
CAN I DO TO PREVENT SWIMMER’S EAR?
MY CHILD HAS “SWIMMER’S EAR” BUT HAS NOT BEEN IN THE WATER.
HOW IS THAT POSSIBLE?
Otitis externa is typically a
bacterial infection of the ear canal; this differs from otitis media,
which involves fluid behind the eardrum. Otitis externa is most commonly
caused by water getting trapped in the ear canal. It also follows injury
to the skin of the ear canal caused by aggressive "cleaning"
with Q-Tips, bobby pins, matchsticks, and other devices. Sometimes the ear
canal will swell shut, which necessitates the placement of a
"wick." A wick is a small compressed sponge that swells when the
antibiotic drops are placed on it. The wick keeps the antibiotic in
constant contact with the infected ear canal, exerts pressure on the
swollen ear canal, and speed the healing of the ear. 1.
If a wick is placed, keep it wet with the antibiotic drops. The drops may
be used four or five times per day. The
wick should be removed in about 48 hours; continue using the eardrops as
directed, usually three or four times per day. 2. Use the antibiotic
ear drops as directed; continue to use them for the specified time period
even if the ear feels back to normal; this longer use will help prevent
reoccurrence. 3. Do not
"clean" or pick inside the ears; this will further damage the
delicate ear cancel skin and prolong the infection and pain. 4. Keep the ears dry;
avoid swimming and use Vaseline-coated cotton when washing hair. Do not
leave a cotton ball in at all times; getting air to the ear canal is
helpful in resolving the infection. WHAT
CAN I DO TO PREVENT SWIMMER’S EAR? Many
people who have otitis externa tend to have recurring ear canal
infections. Every time after swimming, several drops of a solution of 50%
rubbing alcohol and 50% vinegar (or over-the-counter "Swim Ear"
drops) should be placed into the ears. This removes the water that might
otherwise set up an infection. Do not use either of these if you suspect
your child has an active infection, as it will cause significant
discomfort. MY
CHILD HAS “SWIMMER’S EAR” BUT HAS NOT BEEN IN THE WATER. HOW IS THAT
POSSIBLE? When recurrent episodes of otitis externa are noted in a non-swimmer, the problem may be due to an underlying, undiagnosed skin disease. Treatment for this variety of external otitis requires acetic acid eardrops and orally administered steroids. Medications to control itching can be useful. Some children benefit from wearing mittens at during sleep to decrease scratching. Teenagers should avoid hairspray, perfumes, and colognes in the area of the external ear. Severe cases may require referral to a Dermatologist. The information provided on
this web site is not intended to take the place of consultation with your
physician. You should always consult a physician whenever you require
diagnosis or treatment. |
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Copyright © 2008 Atlanta Children's ENT. | |
