Say ni Dok | Fungal ear infection
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00:43 Doc Louie, good morning.
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00:45 Good morning.
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03:11 Doc, how do we know if we have a fungal ear infection?
03:15 What are the causes?
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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.