Ear Lobe Issues: Causes and When to Seek Help - Otolaryngology

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Ear root issues?


Hello, doctor.
I have noticed that when I scratch behind my earlobe with my finger, it has a foul odor.
What conditions could cause this symptom? Additionally, I occasionally have similar pustules that appear on my earlobe, varying in size.
Should I see a dermatologist or an otolaryngologist?

MADDOG, 30~39 year old female. Ask Date: 2017/01/05

Dr. Zheng Jueyi reply Otolaryngology


Hello: Commonly caused by inflammation of skin cysts, it is recommended to consult either a dermatologist or an otolaryngologist for examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/01/05

More Info


Hello! It sounds like you're experiencing some concerning symptoms related to your earlobe, specifically an unpleasant odor and the presence of fluctuating bumps or cysts. These symptoms can be indicative of a few different conditions, and it's important to understand the potential causes and when to seek medical help.

The foul odor you’re noticing when you touch the area behind your earlobe could be due to a few reasons. One common cause is the accumulation of sebum and dead skin cells, which can lead to the formation of sebaceous cysts. These cysts are generally benign and can appear as small lumps under the skin. They may become inflamed or infected, which could explain the odor and the fluctuation in size you’re observing.
Another possibility is an infection, such as an abscess, which can occur if bacteria enter through broken skin or hair follicles. This could also lead to the formation of pus-filled bumps that may be painful or tender to the touch. If the bumps are red, swollen, or warm, this could indicate an infection that requires medical attention.

In terms of when to seek help, if the symptoms persist, worsen, or if you experience additional symptoms such as fever, increased pain, or drainage of pus, it would be wise to consult a healthcare professional.
Regarding which specialist to see, both dermatologists and otolaryngologists (ear, nose, and throat specialists) can address issues related to the earlobe. A dermatologist would be particularly skilled in managing skin-related issues, including cysts and infections. They can provide treatments such as drainage of cysts or abscesses and prescribe antibiotics if necessary. An otolaryngologist, on the other hand, can evaluate any underlying ear-related issues that might be contributing to your symptoms, especially if there are concerns about the ear canal or surrounding structures.

In summary, the symptoms you’re experiencing could be due to sebaceous cysts, infections, or other dermatological conditions. It’s important to monitor the situation and seek medical advice if the symptoms do not improve or if they worsen. A dermatologist would likely be your best first step, but an otolaryngologist can also provide valuable insights, especially if there are concerns about ear health.
Make sure to keep the area clean and avoid picking at it, as this can exacerbate any potential infection. Good luck, and I hope you find relief soon!

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