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Samsi Mesi
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Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Literature Review: Characteristics Of Outer Ear Diseases Nurul Hidayah; Hermiaty Nassaruddin; Samsi Mesi
Jurnal EduHealth Vol. 15 No. 02 (2024): Jurnal eduHealt, Edition April - June , 2024
Publisher : Sean Institute

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Abstract

Introduction: The ear is a human organ that functions as a hearing tool. The ear consists of the outer, middle and inner parts. The structure of the outer ear consists of the earlobe (auricle) and ear canal. The external ear (EE) is anatomically and functionally divided into the cartilaginous auricle, or pinna, and the external auditory canal (EAC). The outer ear can be affected by a variety of conditions, including congenital abnormalities, trauma, inflammatory conditions (infectious or other), blood vessel abnormalities, and neoplasms (benign or malignant). Objective: This literature aims to examine the characteristics of external ear diseases. Method: This research uses a literature review method with the Preferred Reporting Items for protocol Systematic Reviews & Meta-Analyses (PRISMA). Scientific articles or journals are downloaded from PubMed, Garuda Portal, and Google Scholar with SINTA IV and V standards in the time period 20 19-2023. The keywords in this article search were characteristics, external ear disease, 853 articles were obtained in the search results. All articles were selected based on the inclusion criteria, resulting in 9 research articles that would be reviewed. Results: In the literature this was found namely 9 research articles that report the characteristics of external ear diseases consisting of congenital abnormalities, namely preauricular fistula, microtia, acquired abnormalities, namely hematoma, perichondritis, pseudocyst, ear canal abnormalities, namely cerumen, otitis externa and otomycosis. Conclusion: Characteristics of external ear diseases consist of congenital abnormalities, namely preauricular fistula, microtia, acquired abnormalities, namely hematoma, perichondritis, pseudocyst, ear canal abnormalities, namely cerumen, otitis externa and otomycosis.
Swimming As A Risk Factor for Acute Suppurative Otitis Media in A Patient with Contralateral CSOM: A Case Report Aisyah Nurul Izza Lukman; Andi Tenri Sanna A; Indah hamriani; Samsi Mesi; Hasma Idris Nohong
The International Journal of Medical Science and Health Research Vol. 18 No. 10 (2025): The International Journal of Medical Science and Health Research
Publisher : International Medical Journal Corp. Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70070/rfx80h94

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Background: Acute suppurative otitis media (ASOM) is a short-lived middle ear infection often triggered by Eustachian tube dysfunction. Swimming, especially in unsterile waters, can be a risk factor for ASOM due to the ingress of contaminated water or pressure changes that disrupt middle ear ventilation. Individuals with contralateral chronic suppurative otitis media (CSOM) are at higher risk due to pre-existing anatomical changes and decreased mucociliary defense. Case Report : A 36-year-old man, a physical education teacher, presented with severe pain in his right ear for one week, worsening the previous night, accompanied by otorrhea and hearing loss. The complaints arose after water entered the patient's ear while teaching swimming. Otoscopic examination revealed a 40–50% tympanic membrane perforation with hyperemia in the right ear, and a 20–30% perforation without hyperemia in the left ear. Tuning fork and audiometric examinations confirmed bilateral conductive hearing loss (mild in the right ear, moderate in the left ear). The patient was diagnosed with ASOM dextra and inactive chronic otitis media sinistra, then given therapy with Burow's tampon, oral ciprofloxacin, methylprednisolone, acetylcysteine, and education regarding the possibility of operative measures. Discussion : This case demonstrates a relationship between water exposure during swimming and the development of ASOM in a patient with contralateral CSOM. The underlying mechanisms involve Eustachian tube dysfunction, impaired middle ear ventilation, and bacterial colonization due to decreased mucociliary defense. The CSOM condition on one side can be a predisposing factor for acute infection on the other side through tube dysfunction and cross-colonization. Comprehensive management includes eradication of infection, control of inflammation, improvement of middle ear ventilation, and patient education to prevent complications such as permanent hearing loss. Conclusion : Swimming in unsterile waters can be a gateway for infection causing ASOM, especially in individuals with contralateral CSOM. Early and comprehensive treatment is crucial to prevent complications and preserve hearing function.
Co-Authors Aisyah Nurul Izza Lukman Andi Tenri Sanna A Hasma Idris Nohong Hermiaty Nassaruddin Indah Hamriani Nurul Hidayah