WHAT ARE THE CAUSES ?
PINNA or external part of the ear 👂, when it is INJURED ( trauma ,burns like chemical burns or boxing) or when there is inflammation or ALLERGY leading to redness and swelling of skin. This can lead on to perchondrial ( cartilage covering) involvement . Here pain will be very severe.
Sometimes INFECTION can lead on to pus collection or Cellulitis( caused by trivial injuries like scratching especially in diabetics). Viral infections like Varicella zoster( chicken pox) cause severe ear pain if vesicles ( fluid filled pimple like) are present over the ear. Vesicles can be present on the ear canal and if nerve is involved it causes facial palsy ( paralysis) also. Other causes of earache is when there is cancer of the ear or temporal bone ( that houses the ear and structures of hearing and balance)
EXTERNAL EAR CANAL causes are inflammation and infection like otitis externa ( explained already ) malignant otitis externa, chicken pox, any furuncle or boil .Keratosis obturans (already discussed), hard impacted wax, injury, burns, cancer can lead to severe ear pain.
TYMPANIC MEMBRANE ( eardrum) inflammation , bullous lesion after a viral infection, injury by using buds or any other materials like pin, or accidents, blasts, crackers, by a LIVE INSECT can cause very severe ear pain.
MIDDLE EAR infection causing ear discharge, granulations, bleeding, bone erosion ( destruction) can result in severe pain. EUSTACHIAN TUBE (that connects back of the nose and ear ) DYSFUNCTION along with fluid in the middle ear after acute respiratory infection can cause severe ear pain.
INNER EAR injury, noise induced or baro trauma( due to pressure difference) can also cause ear pain.
These are some of the causes for ear pain.
TREATMENT DEPENDS UPON THE CAUSE. INFECTIONS NEED ANTIBIOTICS AND ANALGESICS. PUS HAS TO BE LET OUT. DAMAGED OR NECROSED CARTILAGE HAS TO BE REMOVED.
HOPE THIS POST WAS USEFUL. ( Pain in a normal ear will be discussed next)
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