Chronic Otitis Externa: Treatment, Recovery, and Hearing Concerns - Otolaryngology

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Chronic otitis externa, commonly known as swimmer's ear, is an inflammation of the external ear canal that can be caused by various factors, including bacterial or fungal infections, allergies, or skin conditions like eczema. Your concern about the duration and treatment of this condition is valid, especially considering your history of hearing loss and the potential impact on your quality of life.

Firstly, chronic otitis externa can indeed take a longer time to heal compared to acute cases. The inflammation can lead to symptoms such as pain, itching, and discharge from the ear, which can be quite bothersome. Your physician's advice to keep the ear dry is crucial, as moisture can exacerbate the condition and hinder recovery. It is also true that prolonged use of certain ear drops can lead to irritation or changes in the skin of the ear canal, which may feel rough or uncomfortable, similar to calloused skin.

Regarding your question about whether chronic otitis externa can be completely cured, the answer is generally yes, but it may require a comprehensive treatment approach. Treatment often includes the use of topical antibiotics or antifungal medications, depending on the underlying cause of the inflammation. In some cases, corticosteroid drops may be prescribed to reduce inflammation. It's important to follow your doctor's instructions closely, as overuse of medications can lead to side effects or complications.

If you stop using the ear drops, it is possible that the condition may improve on its own, especially if the underlying cause is addressed (for example, by keeping the ear dry and avoiding irritants). However, there is also a risk that the condition could worsen without appropriate treatment, leading to further complications. Therefore, it is essential to maintain regular follow-ups with your healthcare provider to monitor your progress.

As for the specific ear drops you mentioned, Mecon Ear Drops, it is important to use them as directed. Overuse can lead to side effects such as skin irritation or allergic reactions. If you notice any adverse effects, it is crucial to inform your doctor immediately.

Chronic otitis externa can potentially affect your hearing, especially if there is significant swelling or discharge that obstructs the ear canal. Given your history of sudden hearing loss in the left ear, it is understandable that you are concerned about the impact of this condition on your hearing. It is advisable to have your hearing evaluated regularly during this period to monitor any changes.

Regarding the use of hearing aids during this time, it is generally possible to wear them, provided that the ear canal is not excessively inflamed or infected. However, it is crucial to ensure that the hearing aid is kept clean and disinfected, as you mentioned using alcohol for sanitation. It may also be wise to consult with your audiologist or ENT specialist about the best practices for using hearing aids while dealing with ear infections.

In summary, chronic otitis externa can be managed effectively with the right treatment and care. Maintaining communication with your healthcare provider, adhering to treatment protocols, and monitoring your symptoms will be key to achieving a full recovery. If you have any concerns about your treatment or hearing, do not hesitate to reach out to your doctor for further guidance.