Say ni Dok | Fungal ear infection

PTVPhilippines

8/9/2023

Transcript

00:00 [Filipino language]

00:21 [Filipino language]

00:43 Doc Louie, good morning.

00:44 [Filipino language]

00:45 Good morning.

00:46 [Filipino language]

00:53 [Filipino language]

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02:09 [Filipino language]

02:14 [Filipino language]

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02:55 [Filipino language]

03:11 Doc, how do we know if we have a fungal ear infection?

03:15 What are the causes?

03:17 [Filipino language]

03:46 [Filipino language]

04:15 Doc, maybe the earphones that are not cleaned properly,

04:19 that might also cause an ear infection.

04:23 The one who borrows.

04:24 Yes, that's right.

04:27 It's very common among professional call center agents.

04:36 Sometimes we have patients who borrow headphones.

04:40 Especially those who are in the store.

04:42 "It's good that I cleaned this."

04:45 So, you can exchange and transmit to other patients.

04:52 But if you have otomycosis and you don't have it,

04:57 it's not like you can transmit it virally.

05:00 Usually, there's a media, a mechanical.

05:06 Doc, what is the importance of the tympanic membrane or the eardrum?

05:11 And why are there instances where the eardrum is open?

05:14 Yes, our eardrum is what absorbs sounds,

05:20 if we can hear.

05:22 Now, this is also a barrier for our body, protection.

05:29 So that bacteria, viruses, or other fungal elements

05:32 cannot enter the inner ear area.

05:34 Middle ear, inner ear.

05:35 Now, it can be open if the pressure inside the middle ear is high.

05:40 It can cause an infection or sometimes a wound.

05:43 Or if we constantly turn it,

05:47 it can cause traumatic perforation.

05:51 Okay.

05:52 Doc, if the eardrum is open, can it be covered?

05:55 What is the operation called here?

05:57 Yes, we call it tympanoplasty.

06:02 We get skin from the back of our ears.

06:06 Actually, this is the fascia that covers our temporal bone.

06:10 And we use this to make a sylving graft

06:16 in the tympanic membrane area that we tested.

06:19 Doc, what is the treatment for this type of infection?

06:24 And how long is the normal recovery of a fungal ear infection?

06:28 Okay, for a fungal ear infection,

06:31 usually, it takes 3 to 5 days when our specialist doctors detect it

06:37 and give the right medicine.

06:39 But that's not the case.

06:40 Of course, it needs to be cleaned.

06:42 Because even if we insert it, if there are fungal elements,

06:45 it's hard to recover.

06:48 It can last for several days, weeks, even months.

06:54 Because this infection is recurrent.

06:57 So, our specialist doctor should always monitor,

07:01 clean, and continue the treatment.

07:04 Doc, I know someone who used to hike and go camping.

07:09 When he sleeps, there are insects that enter his ears.

07:13 What should we do if an insect enters his ears?

07:16 For example, if there is no fungus or whatever is inside his ears.

07:19 Yes, our tendency is to turn around when an insect enters.

07:25 What happens is that the insect will panic, especially when it enters.

07:31 If ever you have baby oil,

07:35 but sometimes you can't bring it hiking,

07:38 you might bring it with you.

07:40 That's not allowed.

07:41 Only baby oil or water.

07:43 You can put it inside the ear so that the insect can suffocate.

07:48 And then after that,

07:50 you can bring it to the nearest hospital so that the specialist doctor can see it and remove it.

07:57 Doc, what do you do to people who were born with no ear or auricle?

08:04 Okay.

08:06 They were born with no ear or auricle.

08:12 So, we do something called grafting.

08:17 We take a causal cartilage and we form it to make a new ear.

08:24 That's what we call grafting.

08:26 But now, we have 3D printing.

08:30 3D printed ear models.

08:32 We make it siliconized and we put a magnet to stick it to the part of our head

08:44 so that it can form the shape of our face.

08:48 Doc, is there a modern way to avoid having fungal ear infection?

08:58 Well, it's modern.

09:01 Of course, we still have to clean our surroundings.

09:07 We shouldn't always turn our ears.

09:11 If you feel something inside your ear,

09:16 you can ask our specialist doctors to examine it.

09:22 Like ENT, head and neck surgeons.

09:24 They have autoscopes.

09:26 And now, we have modern techniques like video scopes.

09:32 We can insert it inside our ear and we can visualize what's inside our ear.

09:37 Doc, I have a question.

09:41 I've seen on TikTok videos that people remove things inside their ears.

09:45 It's their favorite.

09:47 It's so funny to watch.

09:49 What's that process?

09:51 What do you recommend?

09:53 What do you remove?

09:55 Are these the earwax?

09:57 Yes, earwax.

09:59 Earwax is the protection of our ears.

10:01 We shouldn't always remove it.

10:04 Because sometimes, when we turn our ears,

10:07 it gets inside our ears and it can impact our rumen.

10:10 It can cause ear pain.

10:12 Sometimes, it can cause problems with the eardrum.

10:15 The tympanic membrane can be pierced.

10:17 So, just leave it.

10:19 If you have ear problems, just ask for an examination.

10:23 Okay.

10:24 About fungal ear infection,

10:26 I've experienced it before.

10:30 When you travel,

10:34 is it prohibited to travel if your ear hurts because of the infection?

10:41 Yes, we have what we call barotitis.

10:48 When the pressure rises, it can cause pain.

10:54 Sometimes, it hurts the earlobe.

11:00 The pressure rises and it hurts your ears.

11:06 If you have a perspiratory tracheal infection,

11:09 it can cause a hole in your eardrum.

11:14 That's why we don't recommend traveling if you have ear problems.

11:21 You should get treatment for it.

11:24 Give your patient some medicine to prevent ear problems.

11:29 Okay. Thank you for the information and additional information.

11:33 Doc, we're back with ENT Head and Neck Specialist, Dr. Renel Luis Gutierrez.

11:39 Thank you very much. Take care, Doc.

11:42 Thank you, everyone.

Say ni Dok | Fungal ear infection

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