A 19-Year-Old Man with Adenoid Hypertrophy, Otomycosis and Diffused Otitis Externa Sinistra, Effusion Otitis Media Dextra Auricular: A Case Report

DOI

10.2991/978-94-6463-184-5_4How to use a DOI?

Keywords

Adenoid Hypertrophy; Eustachian Tube Occlusion; Otomycosis; Diffuse External Otitis; Effusion Otitis Media

Abstract

Introduction: Adenoids are masses of lymphoid tissue located on the posterior wall of the nasopharynx, one of the tissues forming the Waldeyer structure. Adenoid hypertrophy is the enlargement of the adenoid tissue. Recurrent infections of the upper respiratory tract/ARI mostly cause the etiology of adenoid hypertrophy. Adenoid hypertrophy will cause blockage of the choanae and obstruction of the eustachian tube. This study aims to describe the clinical condition of adenoid hypertrophy. The case report is a 19-year-old man who complained that his left ear felt itchy, had a small amount of discharge, was clear in color with a watery consistency and had no odor, had not been accompanied by bleeding since four months ago, decreased hearing, left ear ached, painful, and felt full but no ringing. There was decreased hearing in the right ear but not as severe as in the left ear. The patient also complained of alternating right-left nasal congestion since five years ago. Sometimes, the nose was blocked simultaneously, breathing through the mouth and an unpleasant feeling in the throat emerged. The patient had a history of cold allergies and bronchitis since he was nine. He was a high school student living in a boarding school for six years. ENT physical examination discovered hyphae, cerumen, hyperemia, secretions and edema in the left auricular canal. However, the cone of light was invisible on the left tympanic membrane. In the dextra external auricular canal, there was cerumen. On the dextra tympanic membrane, an effusion and hyperemia were disclosed, but no cone of light was seen. Endoscopic examination of the left auricular revealed an invisible cone of light, hyperemic and edematous external auricular canal, and white hypha debris and cerumen. Endoscopic examination of the dextra auricular discovered fluid effusion on the tympanic membrane, no light cone, and cerumen in the external auricular canal. Nasoendoscopy examination of nasi dextra et sinistra unveiled an oval pale red mass with a soft rubbery consistency and non-bleeding with an uneven surface. CT-Scan Nasopharynx/SPN axial and coronal sections uncovered thickening in the nasopharynx right and left on the inferior aspect. CT-Scan Nasopharynx/SPN axial and coronal sections with contrast obtained contrast filling the masses in the right and left inferior aspect of the nasopharynx. A biopsy of the nasopharynx revealed lymphoid follicular hyperplasia and inflammation. Based on anamnesis, physical examination, and investigations, this patient was diagnosed with adenoid hypertrophy with otomycosis, diffused otitis externa sinistra auricular, and effusion otitis media dextra auricular.

Copyright

© 2023 The Author(s)

Open Access

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TY  - CONF
AU  - Aulia Siti Fatimah
AU  - Nurmala Shofiyati
PY  - 2023
DA  - 2023/05/30
TI  - A 19-Year-Old Man with Adenoid Hypertrophy, Otomycosis and Diffused Otitis Externa Sinistra, Effusion Otitis Media Dextra Auricular: A Case Report
BT  - Proceedings of the International Conference on Health and Well-Being (ICHWB 2022)
PB  - Atlantis Press
SP  - 19
EP  - 29
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-184-5_4
DO  - 10.2991/978-94-6463-184-5_4
ID  - Fatimah2023
ER  -