External Ear Conditions (Furunculosis)

What is Furunculosis?

The pathology of furunculosis is an infection of a hair follicle. The causative organism is Staphylococcus aureus.

Clinical Features

The main symptoms is otalgia. Generally there is no otorrhoea or deafness. The patient will complain of pain on tugging the pinna and compression of the tragus. On examination, there is localized swelling with surrounding erythema in the hair-bearing area of the external ear canal.

Management

If the furuncle is not pointing, an antibiotic impregnated wick can be inserted into the canal over the furuncle for about three to five days. If it is pointing , an incision and drainage can be performed in the clinic. A course of antibiotics (Cloxacillin 250 mg qds for one week) can be prescribed. Analgesics will be required for the pain.