Chronic otitis externa

Chronic inflammation of the skin lining the external ear canal leading to the ear drum.

Can be caused by a number of problems including bacterial infection, a chronic skin disorder (eczema or seborrhea), fungus (Aspergillosis), chronic irritation (hearing aids, Q-tips), allergy, chronic drainage from middle ear disease, a tumor (rare), or it may simply be due to a nervous habit of frequently scratching the ear.

In most patients, more than one factor may be involved.

For example, a patient with eczema may subsequently develop black ear drainage.

This would be suggestive of an accompanying fungus.

In diabetics or immune-suppressed individuals, chronic external otitis can become a very serious disease (malignant external otitis).

Malignant external otitis is a misnomer because it is not a tumor or a cancer, but rather an aggressive bacterial (Pseudomonas) infection of the base of the skull.