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Surgery 1 - Third Year BHMS

Contents

Surgery 1 - Third Year BHMS

Contents

CoursesBHMSSurgery 1 - Third Year BHMSDISEASES OF EXTERNAL EAR

DISEASES OF EXTERNAL EAR

Content

Diseases of External Ear

Congenital Defects of External Ear

  • Definition: Congenital defects refer to abnormalities present at birth.
  • Types:
    • Microtia
    • Macrotia
    • Auricular appendages
    • Cryptotia
    • Stahl's ear
  • Clinical Features: Visible deformities on the ear
  • Complications: Cosmetic issues, difficulty in ear hygiene
  • Management: Surgical correction to improve appearance and function
  • Treatment: Reconstructive surgery using autologous cartilage grafts

Trauma of External Ear

  • Definition: Injury to the external ear
  • Causes:
    • Accidental blows
    • Assault
    • Sports injuries
  • Clinical Features:
    • Swelling
    • Pain
    • Lacerations
  • Complications:
    • Deformity
    • Hearing loss
  • Management: 1 β†’ Initial assessment β†’ Stabilization β†’ Cleaning of wound β†’ Antibiotics β†’ Surgical repair
  • Treatment: Surgical repair to restore appearance and function

Infections of External Ear

  • Definition: Infection of the external ear
  • Types:
    • Otitis externa
    • Perichondritis
    • Malignant otitis externa
  • Causes:
    • Bacterial infection
    • Fungal infection
    • Allergic reaction
  • Clinical Features:
    • Pain
    • Swelling
    • Discharge
  • Complications:
    • Meningitis
    • Brain abscess
  • Management: 1 β†’ Initial assessment β†’ Antibiotics β†’ Rest β†’ Pain relief
  • Treatment: Antibiotics and rest to control infection and prevent complications

Wax, Foreign Bodies and Neoplasm of External Ear

  • Definition: Abnormalities within the external ear canal
  • Types:
    • Cerumen impaction
    • Foreign bodies
    • Neoplasms (benign and malignant)
  • Clinical Features:
    • Hearing loss
    • Pain
    • Discharge
  • Complications:
    • Hearing loss
    • Infection
  • Management: 1 β†’ Initial assessment β†’ Irrigation β†’ Removal of foreign body β†’ Biopsy
  • Treatment: Removal of wax and foreign bodies, and surgical excision of neoplasms

Management of Wax and Foreign Body Removal

  • Definition: Removal of wax and foreign bodies from the external ear canal
  • Techniques:
    • Irrigation
    • Micro-suction
    • Endoscopic removal
  • Complications:
    • Hearing loss
    • Infection
  • Management: 1 β†’ Initial assessment β†’ Preparation β†’ Irrigation β†’ Micro-suction

Homoeopathic Remedies for Diseases of External Ear

  • Definition: Homoeopathic medicines for external ear diseases
  • Remedies:
    • Aconitum napellus (for acute pain)
    • Calcarea carbonica (for chronic infections)
    • Graphites (for chronic pain)
    • Pulsatilla nigricans (for allergic reactions)
  • Indications:
    • Pain
    • Infection
    • Allergic reactions
  • Dosage:
    • 6C to 30C potency
    • 3 to 5 times a day
  • Contraindications:
    • Pregnancy
    • Breastfeeding
    • Allergies to homoeopathic medicines