Skip to main content

Ear Pain and Cerumen Impaction

  • 928 Accesses

Abstract

This chapter succinctly summarizes the diagnosis and management of common ear-related complaints encountered by primary care and emergency clinicians alike, including otitis media and otitis externa. Attention is also directed at differentiating these relatively benign entities from more sinister diagnoses such as malignant otitis externa and mastoiditis.

Keywords

  • Otitis media
  • Otitis externa
  • Malignant otitis externa
  • Mastoiditis
  • Tympanic membrane perforation
  • Foreign body removal
  • Cerumen impaction

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-319-44360-7_3
  • Chapter length: 11 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   84.99
Price excludes VAT (USA)
  • ISBN: 978-3-319-44360-7
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   109.99
Price excludes VAT (USA)

References

  1. Neilan RE, Roland PS. Otalgia. Med Clin N Am. 2010;94:961–71.

    CrossRef  PubMed  Google Scholar 

  2. Ely JW, Hansen MR, Clark EC. Diagnosis of ear pain. Am Fam Physician. 2008;77(5):621–8.

    PubMed  Google Scholar 

  3. Coker TR, Chan LS, Newberry SJ, Limbos MA, Suttorp MJ, Shekelle PG, Takata GS. Diagnosis, microbial epidemiology, and antibiotic treatment of acute otitis media in children: a systematic review. JAMA. 2010;304(19):2161–9.

    CAS  CrossRef  PubMed  Google Scholar 

  4. Lieberthal AS, Carroll AE, Chonmaitree T, Ganiats TG, Hoberman A, et al. The diagnosis and management of acute otitis media. Pediatrics. 2013;131(3):e964–99.

    CrossRef  PubMed  Google Scholar 

  5. Conover K. Earache. Emerg Med Clin N Am. 2013;31:413–42.

    CrossRef  Google Scholar 

  6. Venekamp RP, Sanders SL, Glasziou PP, Del Mar CB, Rovers MM. Antibiotics for acute otitis media in children. Cochrane Database Syst Rev. 2015;6:CD000219.

    Google Scholar 

  7. Teele DW, Klein JO, Rosner BA. Epidemiology of otitis media in children. Ann Otol Rhinol Laryngol. 1980;89(3 Pt 2):5–6.

    CAS  Google Scholar 

  8. Roland PS, Stroman DW. Microbiology of acute otitis externa. Laryngoscope. 2002;112(7 Pt 1):1166–77.

    CrossRef  PubMed  Google Scholar 

  9. Hobson CE, Moy JD, Byers KE, Raz Y, Hirsch BE, McCall AA. Malignant otitis externa: evolving pathogens and implications for diagnosis and treatment. Otolaryngol Head Neck Surg. 2014;151(1):112–6.

    CrossRef  PubMed  Google Scholar 

  10. Luntz M, Brodsky A, Nusem S, Kronenberg J, Keren G, et al. Acute mastoiditis – the antibiotic era: a multicenter study. Int J Pediatr Otorhinolaryngol. 2001;57:1–9.

    CAS  CrossRef  PubMed  Google Scholar 

  11. Geva A, Oestreicher-Kedem Y, Fishman G, Landsberg R, DeRowe A. Conservative management of acute mastoiditis in children. Int J Pediatr Otorhinolaryngol. 2008;72:629–34.

    CrossRef  PubMed  Google Scholar 

  12. Holt GR, Gates GA. Masked mastoiditis. Laryngoscope. 1983;93:1034–7.

    CAS  CrossRef  PubMed  Google Scholar 

  13. Schulze SL, Kerschner J, Beste D. Pediatric external auditory canal foreign bodies: a review of 698 cases. Otolaryngol Head Neck Surg. 2002;127(1):73–8.

    CrossRef  PubMed  Google Scholar 

  14. Kavanagh KT, Litovitz T. Miniature battery foreign bodies in auditory and nasal cavities. JAMA. 1986;255(11):1470–2.

    CAS  CrossRef  PubMed  Google Scholar 

  15. Maitland CG. Perilymphatic fistula. Curr Neurol Neurosci. 2001;1:486–91.

    CAS  CrossRef  Google Scholar 

  16. Roeser RJ, Ballachanda BB. Physiology, pathophysiology, and anthropology/epidemiology of human ear canal secretions. J Am Acad Audiol. 1997;8:391–400.

    CAS  PubMed  Google Scholar 

  17. Roland PS, Smith TL, Schwartz SR, Rosenfeld RM, Ballachanda B, et al. Clinical practice guideline: cerumen impaction. Otolaryngol Head Neck Surg. 2008;139(3 S2):S1–21.

    CrossRef  PubMed  Google Scholar 

  18. Burton MJ, Dorée CJ. Ear drops for the removal of ear wax. Cochrane Database Syst Rev. 2003;3:CD004400.

    Google Scholar 

  19. Uscategui T, Dorée C, Chamberlain IJ, Burton MJ. Antiviral therapy for Ramsay Hunt syndrome (herpes zoster oticus with facial palsy) in adults. Cochrane Database Syst Rev. 2008;(4):CD006851.

    Google Scholar 

  20. de Ru JA, van Benthem PP. Combination therapy is preferable for patients with Ramsay Hunt syndrome. Otol Neurotol. 2011;32:852–5.

    CrossRef  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael Marchick MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Marchick, M. (2017). Ear Pain and Cerumen Impaction. In: Desai, B., Desai, A. (eds) Primary Care for Emergency Physicians. Springer, Cham. https://doi.org/10.1007/978-3-319-44360-7_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-44360-7_3

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44358-4

  • Online ISBN: 978-3-319-44360-7

  • eBook Packages: MedicineMedicine (R0)