Otitis 1: Eksterna - Classification

The Otitis External
Otitis external include all inflammation of the ear, the outside of the ear hole, or the outside surface of the ear drum (membrane timpani). Otitis external can occur locally or diffuse, can also be acute or chronic, and is caused due to an infection, allergy, or inflammation irritation.
Otitis external this attack more than one percent (1%) population in the United States each year. Each person can be infected otitis external, but there is little difference that this disease occurs more often in women than men. Otitis external is often called the 'swimmers ear' or 'Topical ear', because this disease is caused by the entry of water into the ear hole, and often in the humid conditions. Otitis external can easily use in therapy with ear drops and analgesic (pain remover), although rarely the case.
This disease is a disease of the outer ear that is often found, in addition to other ear. Based on data collected starting from January until December 2000 at the ENT Clinic H. Adam Malik Hospital Medan found where 10,746 new visits, found 867 cases (8.07%), otitis external, 282 cases (2.62%), otitis external diffuse and 585 cases (5.44%), otitis external circumscripta.
Swimmers ear (otitis external) found four (4) of 1000 people, most at the age of teenagers and young adults. Consists of inflames, irritation or infection on the outside of the ear. History found the exposure to water, scratches and mechanical trauma or a foreign object in the ear hole. Swim in water that blackened one way eastern occurrence of otitis (swimmers ear).

Classification
The most common form is a form of boil (Furunkulosis), one from a gland sebasea 1 / 3 hole outside ear. In the otitis external diffuse process here patologis limit skin cartilage part of otitis external ear hole, concha, concha idiopathic causes, trauma, irritant, bacterial or fungal, allergic, and the environment. Most of the allergic topical the ear drops. Allergen the most common is antibiotic, example: neomycin, framycetyn, gentamicin, polimixin, anti-bacterial and anti-histamine. Poten sensitivity is particularly nickel metal and that often appear on paper clips and hair that may be used to pry into your ear.
Infectious disease is the most common ear hole from outside, such as acute otitis external diffuse on a humid environment. Therefore, at the beginning of this section will discuss with otitis external diffuse.

Otitis External Diffuse
Otitis external diffuse also known as ear hot weather (hot weather ear), ear swimmer (swimmer ear), is a problematic in the general otologi obtained at 5 - 20% of the treatment to the doctor in the areas of tropical and subtropical warm.5 season, 6 Otitis external diffuse inflammation is a complex phenomenon that occurs when the weather is hot and humid and can be found in the form of mild, moderate, severe and prolonged.
Tobing RPM, the research has been done to report on the examination ear fluid of 50 patients otitis external diffuse in the ENT FK USU / RS. Dr. Pirngadi Medan 1983, the results obtained are as follows: Pseudomonas 46%, Proteus 18%, Coliform 16%, Klebsiella 10%, and Staphylococcus 10%.