Itchy Ears Evaluation of Predisposing Factors and Treatment Outcomes

Main Article Content

Shilpa R
Mallikarjuna Swamy

Abstract

Introduction


Though itchy ears cause significant discomfort, patients generally do not consult a doctor till it becomes chronic. Moreover, itching as a symptom hardly receives any attention in non-dermatological clinics and is generally not considered as a condition worth evaluating. Thus, this study was performed to examine the predisposing factors of itchy ears and the outcomes of corresponding treatment.


Materials and Methods


This was a prospective observational study carried out over a period of 12 months (July 2019 to June 2020). The study included 200 patients belonging to the age group ranging from toddler to elderly (≤70 years) and presenting at the ENT OPD of a Tertiary Care Teaching Institute with the complaints of itching in one or both the ears. Following the diagnosis, appropriate treatment was started. The patients were then followed-up after 10 days, to note if symptom of itchiness in the ear(s) had relieved.


Results


Out of 200 patients, 89 presented with itchy ears due to various etiology, of which most common were otomycosis (N=30), allergic rhinitis (N=15), and keratosis obturans (N=10). However, majority of the patients (N=111) had impacted wax as the predisposing factor (trauma (N=27), abnormal anatomy (N=65), or hereditary (N=19)), resulting in itchy ears. On the 10th day, complaint of itchy ears was relieved in majority of the patients. However, amongst 30 patients, 3 patients with fungal infection of the external auditory canal still complained of itchy ears and thus, were referred to dermatologist.


Conclusion


Impacted wax was the most frequently observed predisposing factor and was commonly observed across all the age groups. Majority of the patients responded well to the treatment and were relieved of itchy ears.

Article Details

How to Cite
1.
R S, Swamy M. Itchy Ears: Evaluation of Predisposing Factors and Treatment Outcomes . BJOHNS [Internet]. 2021Jun.3 [cited 2024Nov.21];29(1):66-71. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/387
Section
Main article
Author Biographies

Shilpa R, Koppal Institute of Medical Sciences, Gangavathi Road, Kiddidal Gate, Koppal-583231, Karnataka

Assistant Professor

Department of ENT

Mallikarjuna Swamy, Koppal Institute of Medical Sciences, Gangavathi Road, Kiddidal Gate, Koppal-583231, Karnataka

Associate Professor

Department of ENT

 

References

Seth D, Cheldize K, Brown D, Freeman EF. Global Burden of Skin Disease: Inequities and Innovations. Curr Dermatol Rep. 2017; 6:204-10

Tivoli YA, Rubenstein RM. Pruritus: an updated look at an old problem. J Clin Aesthet Dermatol. 2009; 2:30-36

Rajagopalan M, Saraswat A, Godse K , Shankar DSK, Kandhari S, Shenoi SD, et al. Diagnosis and Management of Chronic Pruritus: An Expert Consensus Review. Indian J Dermatol. 2017; 62:7-17

Robert ML. How to care for moist ears. Hear J. 2010; 63:60

Rensink MJ, Martin RL. Itchy ears: Some approaches to dealing with a common problem. Hear J. 2005; 58:64-6

Meding B, Ringdahl A. Allergic Contact Dermatitis from the Earmolds of Hearing Aids. Ear Hear. 1992; 13:122-4

Memar O, Caughlin B, Djalilian HR. Psoriatic Involvement of the Ear. Hear J. 2019; 72:44-7

Ozcan KM, Ozcan M, Karaarslan A, Karaarslan F. Otomycosis in Turkey: predisposing factors, aetiology and therapy. J Laryngol Otol. 2003; 117:39-42

Shenoy RK, Paulose O, Sharma RK. Itchy ear syndrome. Arch Otolaryngol Head Neck Surg. 1989;115:109

Stander S, Weisshaar E, Mettang T, Szepietowski JC, Carstens E, Ikoma A, et al. Clinical classification of itch: a position paper of the International Forum for the Study

of Itch. Acta Derm Venereol. 2007; 87:291-4

Weisshaar E, Kucenic MJ, Fleischer AB Jr. Pruritus: A review. Acta Derm. Venereol. Suppl. (Stockh). 2003; 213:5-32

Nambiar VR, Rai S, Somayaji G. Microbiology of itchy ears. Otolaryngology online 2015; 5(2):108-14

Guest JF, Greener MJ, Robinson AC, Smith AF. Impacted cerumen: composition, production, epidemiology and management. Q J Med. 2004; 97:477-88

Hanger HC, Mulley GP. Cerumen: its fascination and clinical importance: a review. J R Soc Med. 1992; 85:346-9

Memel D, Langley C, Watkins C, Laue B, Birchall M, Bachmann M. Effectiveness of ear syringing in general practice: a randomised controlled trial and patients’ experiences. Br J Gen Pract. 2002; 52:906-11

Meltzer EO, Blaiss MS, Derebery MJ, Mahr TA, Gordon BR, Sheth KK, et al. Burden of allergic rhinitis: Results from the Pediatric Allergies in America survey. J Allergy Clin Immunol. 2009; 124:S43-70

Valovirta E, Myrseth SE, Palkonen S. The voice of the patients: allergic rhinitis

is not a trivial disease. Curr Opin Allergy Clin Immunol. 2008; 8:1-9

Khanna P, Shah A. Categorization of patients with allergic rhinitis: a comparative profile of “sneezers and runners” and “blockers.” Ann Allergy Asthma Immunol. 2005; 94:60-64

Bernstein DI, Teper A, Gopalan G, Gates D. Effects of intranasal mometasone furoate on itchy ear and palate in patients with seasonal allergic rhinitis. Ann Allergy Asthma Immunol 2012; 108:359-62

Simons FER. The role of antihistamines in the management of respiratory allergy. Res Immunol. 1998;149:193-5

Morinière S, Soin C, Lescanne E, Ployet MJ. Epidemiology of otitis media with effusion. La Revue du Praticien 1998; 48:838-42

Ghosh P. Pruritus ears: How do I manage it? Indian J Otolaryngol Head Neck Surg. 2005;57:168-9

Jackman A, Ward R, April M, Bent J. Topical antibiotic induced otomycosis. Int J Pediatr Otorhinolaryngol. 2005; 69:857-60

Pakshir K, Sabayan B, Javan H, Karamifar K. Mycoflora of human external auditory canal in Shiraz, southern Iran. Iran Red Crescent Med J. 2008; 10:27-9

Vennewald I, Klemm E. Otomycosis: Diagnosis and treatment. Clin Dermatol. 2010; 28:202-11

Zerbib F, Rommel N, Pandolfino J, Gyawali CP. ESNM/ANMS Review. Diagnosis and management of globus sensation: A clinical challenge. Neurogastroenterol Motil. 2020; 32:e13850.