APPROACH TO TREATING CHILDREN WITH OTOMYCOSIS COMPLICATED BY CHRONIC SUPPURATIVE OTITIS MEDIA
Keywords:
otomycosis, external auditory canal, fungus side, otoscopy, aspergillus, candidaAbstract
Otomycosis (fungal otitis externa) is usually characterized as a fungal infection of the external auditory canal, but in rare cases, it can also be complicated by the middle ear. Although it is not life-threatening, it is a complex and alarming disease for patients and otorhinolaryngologists, as it often requires long-term treatment and observation. Otomycosis is one of the most common diseases in general ENT practice, its prevalence among patients with symptoms of external otitis can reach from 9% to 27.2%, and in patients with ear discharge - up to 30%. This disease occurs throughout the world, but is particularly common in hot, humid, and dusty tropical and subtropical regions. The most common pathogens are Aspergillus niger and Candida albicans, but many other fungal species can also cause otomycosis. To diagnose, it is necessary to conduct a series of laboratory (microbiological, modern molecular, histological) and clinical studies, evaluate the function of the hearing organs, and identify the disease pathogen. In most cases, the treatment of otomycosis is limited to the use of local antifungal agents. They are prescribed based on laboratory test results. Treatment is conducted in 3 main stages: clearing the external auditory canal, etiological treatment against fungi and secondary infection, bacteria, and support measures for therapeutic procedures.
References
Khismatullina, Z.R., KORESHKOVA, K.M., ABDURASHITOV, T.R. OTOMYCOSIS: CLINIC, DIAGNOSTICS, TREATMENT (LITERATURE REVIEW) // 2020 doi:10.24412/1999-6780-2020-3-9-14 (In Russ.)
Krukov AI, Kunel’skaya NL, Kunel'skaia VIa, Ivoĭlov AIu, Turovskiĭ AB, Shadrin GB, Machulin AI. Otomycosis: the modern view of etiology and management. Russian Bulletin of Otorhinolaryngology. 2018;83(1):48‑51 https://doi.org/10.17116/otorino201883148-51(In Russ.)
Carney A. S. Otitis externa and otomycosis //Paediatrics, The Ear, Skull Base. – CRC Press, 2018. – С. 953-958.
Debta P. et al. Otomycosis: A Comprehensive Review //Indian Journal of Forensic Medicine & Toxicology. – 2020. – Т. 14. – №. 4. – С. 8429.
Kiakojori K. et al. Assessment of response to treatment in patients with otomycosis //Iranian Journal of Otorhinolaryngology. – 2018. – Т. 30. – №. 96. – С. 41.
Opperman C. J., Copelyn J. Aspergillus niger otomycosis in a child with chronic otitis externa //Southern African Journal of Infectious Diseases. – 2020. – Т. 35. – №. 1. – С. 1-3.
Prakash S. B., Leelatejaswini R. M., Deekshita V. A clinical and microbial study of otomycosis: an original study //Journal of Evolution of Medical and Dental Sciences. – 2015. – Т. 4. – №. 71. – С. 12376-12385.
Amonov M.X., Vokhidov U.N. Specificity of the clinic of the disease in children with otomycosis. Eurasian Journal of Otorhinolaryngology - Head and Neck Surgery. 2022;1(1):6–11. https://doi.org/10.57231/j.ejohns.2022.1.1.001
Imangaliev E.E., Jandaev S.J., Kasenova D.S., Abdrakhmanova D.K. Current Approaches to the Diagnosis and Treatment of Otomycosis // Astana Medical Journal. 2023. No. 2. Vol. 116. pp. 12–17 https://doi.org/10.54500/2790-1203-2023-2-116-12-17 (In Russ.)
Kiakojori K., Jamnani N. B., Khafri S., Omran S. M. Assessment of response to treatment in patients with otomycosis. Iranian Journal of Otorhinolaryngology, 2018; 30(96):41.
Imamov O. S., Rizaev J. A., Toxtayev G. S. A SURVEY OF BULLOUS DISEASES CLINICOEPIDEMIOLOGICAL CHARACTERISTICS //Central Asian Journal of Medicine. – 2025. – №. 2. – С. 65-70.
Alimdjanovich R. J., Ugli T. N. K. CLINICAL AND ANATOMICAL FEATURES OF NASAL DEFORMITY IN PATIENTS WITH UNILATERAL CLEFT LIP AND PALATE AFTER CHEILOPLASTY //The American Journal of Medical Sciences and Pharmaceutical Research. – 2023. – Т. 5. – №. 08. – С. 13-22.
Фаттаева Д., Ризаев Ж., Рахимова Д. ОСОБЕННОСТИ КЛИНИЧЕСКОГО ТЕЧЕНИЯ ХРОНИЧЕСКОГО ГАЙМОРИТА ПРИ БРОНХО-ЛЕГОЧНОЙ ПАТОЛОГИИ //SCIENTIFIC IDEAS OF YOUNG SCIENTISTS. – 2021. – С. 28.
Polatova Djamila , Madaminov Ahmad, Raximov Nodir . Significance of expression PD-L1 and p53 proteins in human papillomavirus-associated oropharyngeal squamous cell carcinoma// Journal of Biomedicine and Practice. 2022, vol . 7, issue 4, pp . 144-151
Abdurakhmonov F. R., Rakhimov N. M., Abdurakhmonova F. F. Special choices for the treatment of complications of the soft tissue injuries of the facial region //The American Journal of Medical Sciences and Pharmaceutical Research. – 2023. – Т. 5. – №. 10. – С. 24-26.
