‫اﻟﺘﮭﺎب اﻻذن اﻟﺨﺎرﺟﯿﺔ‬OTITIS

EXTERNA
IT IS BACTERIAL OR FUNGAL INFECTION WHICH
MAY RESULT FROM AN ABRASION OF THE EAR
CANAL OR FROM SWIMMING IN CONTAMINATED
WATER & INVOLVES THE EXTERNAL EAR CANAL.
‫ھﻲ ﻋدوى ﺑﻛﺗﯾرﯾﺔ أو ﻓطرﯾﺔ ﻗد ﺗﻧﺗﺞ ﻋن ﺗﺂﻛل ﻓﻲ ﻗﻧﺎة اﻷذن أو ﻣن‬
.‫اﻟﺳﺑﺎﺣﺔ ﻓﻲ اﻟﻣﯾﺎه اﻟﻣﻠوﺛﺔ وﺗﺷﻣل ﻗﻧﺎة اﻷذن اﻟﺧﺎرﺟﯾﺔ‬
IT IS ALSO CALLED AS EXTERNAL OTITIS OR
SWIMMER’S EAR
.‫ﺿﺎ اﻟﺗﮭﺎب اﻷذن اﻟﺧﺎرﺟﯾﺔ أو أذن اﻟﺳﺑﺎﺣﺔ‬ً ‫ﯾطﻠق ﻋﻠﯾﮫ أﯾ‬

‫اﻟﻤﺴﺒﺒﺎت‬ETIOLOGY
1.CAUSATIVE ORGANISM- ‫ ﻣﻧظﻣﺔ ﻋﺎﺑرة‬-
PSEUDOMONAS AERUGINOSA.

2.DIABETES ‫اﻟﺳﻛري‬

3.PROTECTIVE WAXING COATING HAS BEEN DAMAGED BY

DRYNESS,MOISTURE OR TREATMENT.
.‫ﺗﺿرر طﻼء اﻟﺷﻣﻊ اﻟواﻗﻲ ﺑﺳﺑب اﻟﺟﻔﺎف أو اﻟرطوﺑﺔ أو اﻟﻌﻼج‬.

4.WATER REMAINS IN THE EAR CANAL AFTER SWIMMING.

‫ﯾﺑﻘﻰ اﻟﻣﺎء ﻓﻲ ﻗﻧﺎة اﻷذن ﺑﻌد اﻟﺳﺑﺎﺣﺔ‬
 MANAGEMENT CON’T
‫اﻻﻋﺮاض اﻟﻤﺘﻼزﻣﺔ‬CLINICAL MANIFESTATIONS INTERVENTION--‫ﺗدﺧل ﻗﺿﺎﺋﻲ‬
1.EDEMA- WHICH OCCLUDE EAR CANAL. 1.Aspirin ,codeine & applications of heat provide
.‫ اﻟﺗﻲ ﻗد ﺗﻛون ﻗﻧﺎة اﻷذن‬-‫اﻟوذﻣﺔ‬. Comfort..‫ اﻷﺳﺑرﯾن واﻟﻛودﯾﯾن وﺗطﺑﯾﻘﺎت اﻟﺣرارة ﺗوﻓر اﻟراﺣﺔ‬.
2.SEVERE PAIN.‫اﻷﻟم اﻟﺷدﯾد‬ 2.Instillation of antibiotic ear drops.
3.FEVER ‫ﻧﮭﺎﺋﯾﺎ‬ .‫ﺗﻘطﯾر ﻣﺿﺎد ﺣﯾوي ﻗطرات اﻷذن‬
‫اﻻدارة‬MANAGEMENT 3.Systemic antibiotic therapy may be required.
GOALS OF MANAGEMENT ARE DIRECTED .‫ﻗد ﯾﺗطﻠب اﻷﻣر اﻟﻌﻼج ﺑﺎﻟﻣﺿﺎدات اﻟﺣﯾوﯾﺔ اﻟﺟﮭﺎزﯾﺔ‬
TOWARD::‫أھداف اﻹدارة ﻣوﺟﮭﺔ ﻧﺣو‬ 4.Patients are reminded to avoid self-cleaning of the ear.
‫ﯾﺗم ﺗذﻛﯾر اﻟﻣرﺿﻰ ﺑﺗﺟﻧب اﻟﺗﻧظﯾف اﻟذاﺗﻲ ﻟﻸذن‬
1.Relieving the discomfort or pain.
5.Avoid swimming or allowing water to enter the ear
‫ﺗﺧﻔﯾف اﻻﻧزﻋﺎج أو اﻷﻟم‬ when shampooing or showering.
2.Reducing the swelling in the ear.‫ﺗﻘﻠﯾل اﻟﺗورم ﻓﻲ اﻷذن‬ .‫ﺗﺟﻧب اﻟﺳﺑﺎﺣﺔ أو اﻟﺳﻣﺎح ﺑدﺧول اﻟﻣﺎء إﻟﻰ اﻷذن ﻋﻧد اﻻﺳﺗﺣﻣﺎم ﺑﺎﻟﺷﺎﻣﺑو أو اﻻﺳﺗﺣﻣﺎم‬
3.Eradicating the infection..‫اﻟﻘﺿﺎء ﻋﻠﻰ اﻟﻌدوى‬ 6.Avoid skin irritants e.g. hair dye or hair spray.
‫ ﺻﺑﻎ اﻟﺷﻌر أو رذاذ اﻟﺷﻌر‬:‫ﺗﺟﻧب ﻣﮭﯾﺟﺎت اﻟﺟﻠد ﻣﺛل‬

‫اﻻدارة‬MANAGEMENT
INFECTION OF THE SKIN & THE SUBCUTANEOUS 1.Administration of antibiotics..‫ﺗﻧﺎول اﻟﻣﺿﺎدات اﻟﺣﯾوﯾﺔ‬
TISSUE OF EXTERNAL EAR CANAL USUALLY 2.Application of hot packs.‫ﺗطﺑﯾق اﻟﻛﻣﺎدات اﻟﺳﺎﺧﻧﺔ‬
RESULT IN GREAT PAIN IN THE AFFECTED EAR.
‫ﻋﺎدة ً ﻣﺎ ﯾؤدي اﻟﺗﮭﺎب اﻟﺟﻠد واﻷﻧﺳﺟﺔ ﺗﺣت اﻟﺟﻠد ﻟﻘﻧﺎة اﻷذن اﻟﺧﺎرﺟﯾﺔ إﻟﻰ‬
.‫أﻟم ﺷدﯾد ﻓﻲ اﻷذن اﻟﻣﺻﺎﺑﺔ‬
‫اﻻﻋراض اﻟﻣﺗﻼزﻣﮫ‬CLINICAL MANIFESTATIONS
1.Fever ‫اﻟﺣﻣﻰ‬
2.Severe headache. ‫ﺻداع ﺷدﯾد‬
3.Enlargement of local lymph nodes.
.‫ﺗﺿﺧم اﻟﻐدد اﻟﻠﯾﻣﻔﺎوﯾﺔ اﻟﻣوﺿﻌﯾﺔ‬
 ‫اﻟﺘﮭﺎب اﻷذن اﻟﻮﺳﻄﻰ اﻟﺤﺎد‬
ACUTE OTITIS MEDIA
IS SUDDEN OR ACUTE INFECTION OF MIDDLE EAR.
.‫اﻟﺗﮭﺎب ﻣﻔﺎﺟﺊ أو ﺣﺎد ﻓﻲ اﻷذن اﻟوﺳطﻰ‬
‫اﻟﻣﺳﺑﺑﺎت‬ETIOLOGY
1.Bacteria such as: streptococcus
pneumonia,hemophilus influenza &
staphylococcus.
‫ اﻟﻧزﻟﺔ اﻟﻧزﻓﯾﺔ‬، ‫ اﻻﻟﺗﮭﺎب اﻟرﺋوي اﻟﻌﻘدﯾﺔ‬:‫اﻟﺑﻛﺗﯾرﯾﺎ ﻣﺛل‬
.‫واﻟﻣﻛورات اﻟﻌﻧﻘودﯾﺔ‬
2.Certain viruses also may be causative agent.
.‫ﺿﺎ ﻋﺎﻣًﻼ ﻣﺳﺑﺑًﺎ‬ً ‫ﻗد ﺗﻛون ﺑﻌض اﻟﻔﯾروﺳﺎت أﯾ‬

‫اﻻﻋﺮاض اﻟﻤﺘﻼزﻣﮫ‬CLINICAL MANIFESTATIONS

1.Otalgia
2.Fever ‫اﻟﺣﻣﻰ‬
3.Deafness,Ear noises ‫ ﺿﺟﯾﺞ اﻷذن‬، ‫اﻟﺻﻣم‬
4.Headache ‫اﻟﺻداع‬
5.Loss of appetite..‫ﻓﻘدان اﻟﺷﮭﯾﺔ‬
6.Nausea & Vomiting ‫اﻟﻐﺛﯾﺎن واﻟﻘﻲء‬
7.Perforation of ear drum. ‫ﺛﻘب طﺑﻠﺔ اﻷذن‬
 ‫اﻻدارة‬MANAGEMENT Myringotomy ‫ﺑﺿﻊ اﻟطﺑﻠﺔ‬
1.Antibiotic administration‫إﻋطﺎء اﻟﻣﺿﺎدات اﻟﺣﯾوﯾﺔ‬

2.Symptomatic treatment such as administration of

analgesic to relieve pain.
‫ﻋﻼج اﻷﻋراض ﻣﺛل إﻋطﺎء اﻟﻣﺳﻛﻧﺎت ﻟﺗﺳﻛﯾن اﻵﻻم‬
3.Myringotomy-: ‫ﺑﺿﻊ اﻟطﺑﻠﺔ‬
An incision is made into the tympanic
membrane to relieve pressure & to drain serous
or purulent fluid from the middle ear.
‫ﯾﺗم ﻋﻣل ﺷق ﻓﻲ اﻟﻐﺷﺎء اﻟطﺑﻠﻲ ﻟﺗﺧﻔﯾف اﻟﺿﻐط وﺗﺻرﯾف اﻟﺳﺎﺋل اﻟﻣﺻﻠﻲ‬
‫أو اﻟﻘﯾﺣﻲ ﻣن اﻷذن اﻟوﺳطﻰ‬

‫اﻟﺘﮭﺎب اﻷذن اﻟﻮﺳﻄﺊ اﻟﻤﺰﻣﻦ‬

CHRONIC OTITIS MEDIA
Inflammation of middle ear, results from
repeated attack of acute otitis media causing
persistent perforation of ear drum
‫ وﯾﻧﺗﺞ ﻋن ھﺟوم ﻣﺗﻛرر ﻣن اﻟﺗﮭﺎب اﻷذن اﻟوﺳطﻰ اﻟﺣﺎد‬، ‫اﻟﺗﮭﺎب اﻷذن اﻟوﺳطﻰ‬
‫ﻣﻣﺎ ﯾﺳﺑب ﺛﻘﺑًﺎ ﻣﺳﺗﻣًرا ﻓﻲ طﺑﻠﺔ اﻷذن‬
‫اﻻﻋراض اﻟﻣﺗﻼزﻣﮫ‬CLINICAL MANIFESTATIONS
1.Deafness ‫اﻟﺻﻣم‬
2.Foul-smelling discharge ‫إﻓرازات ﻛرﯾﮭﺔ اﻟراﺋﺣﺔ‬
3.Dizziness ‫دوﺧﺔ‬
4.Headache. ‫ﺻداع‬
5.Sudden facial paralysis..‫ﺷﻠل اﻟوﺟﮫ اﻟﻣﻔﺎﺟﺊ‬
6.Stiff neck. ‫ﺗﺻﻠب اﻟرﻗﺑﺔ‬
 ‫اﻻدارة‬MANAGEMENT
‫ﺑﺿﻊ اﻟطﺑﻠﺔ‬
1.CAREFUL CLEANSING OF THE EAR.
.‫ اﻟﺗﻧظﯾف اﻟدﻗﯾق ﻟﻸذن‬.
2.Instillation of antibiotic ear drops.
.‫ﺗﻘطﯾر ﻣﺿﺎد ﺣﯾوي ﻗطرات اﻷذن‬
3.Tympanoplasty-‫رأب طﺑﻠﺔ اﻷذن‬
Tympanoplasty refers to the reconstruction of
the middle ear bones.
.‫ﯾﺷﯾر رأب اﻟطﺑﻠﺔ إﻟﻰ إﻋﺎدة ﺑﻧﺎء ﻋظﺎم اﻷذن اﻟوﺳطﻰ‬

‫اﻟﺘﺜﻘﯿﻒ اﻟﺼﺤﻲ ﺑﻌﺪ رأب طﺒﻠﺔ اﻷذن‬

HEALTH EDUCATION AFTER
TYMPANOPLASTY
1.Do not touch dressing unnecessarily.
.‫ﻻ ﺗﻠﻣس اﻟﺿﻣﺎدة دون داع‬
2.Change dressing as instructed.
‫ﺗﻐﯾﯾر اﻟﺿﻣﺎدة ﺣﺳب اﻟﺗﻌﻠﯾﻣﺎت‬
3.Do not wash hair until instructed by physician.
‫ﻻ ﺗﻐﺳل اﻟﺷﻌر إﻻ ﺑﺈرﺷﺎدات اﻟطﺑﯾب‬
4.Do not shower, fly in plane, or swim until instructed by
physician.‫ﻻ ﺗﺳﺗﺣم أو ﺗطﯾر ﻓﻲ اﻟطﺎﺋرة أو ﺗﺳﺑﺢ إﻻ ﺑﺈرﺷﺎدات اﻟطﺑﯾب‬
5.Cover the ear when going outside..‫ﺗﻐطﯾﺔ اﻷذن ﻋﻧد اﻟﺧروج‬
6.Avoid people with cold.‫ﺗﺟﻧب اﻷﺷﺧﺎص اﻟﻣﺻﺎﺑﯾن ﺑﺎﻟﺑرد‬
7.Do not bend at waist or strain on defecation.
.‫ﻻ ﺗﻧﺣﻧﻲ ﻋﻧد اﻟﺧﺻر أو ﺗﺿﻐط ﻋﻠﻰ اﻟﺗﻐوط‬