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What Is the Outer Ear?

The outer ear comprises the auricle (pinna) and external auditory canal, key parts of the outer ear that capture sound. The auricle features the helix (rim), antihelix (inner ridge), tragus (canal guard), antitragus, concha (sound funnel), and lobule (soft earlobe). These components of the outer ear direct sound waves inward.

Parts of the outer ear

The canal, roughly 2.5 cm long, has a cartilaginous outer third (flexible, skin-lined with hair) and bony inner portion (fragile, cerumen-producing). An outer ear diagram illustrates this: pinna funnels to canal, ending at the eardrum. Variations like prominent ears affect hearing aid stability.

In hearing aid users, the concha and canal shape dictate custom moulds—the parts of the outer ear must align perfectly to avoid feedback or irritation.

Function of the External Ear

The external ear, or outer ear, plays a vital role in capturing and directing sound waves towards the middle ear for processing. Its main functions include sound localisation, amplification, and protection of the ear canal.

  1. The auricle (pinna) acts like a funnel, gathering sound waves from the environment and channeling them into the external auditory canal. Its ridges and folds—such as the helix, antihelix, and concha—help pinpoint sound direction, especially high frequencies, aiding balance and speech clarity crucial for hearing aid users.
  2. The canal then concentrates these waves onto the eardrum (tympanic membrane), resonating to boost volume by 10-15 dB before middle ear transmission.
  3. Muscles like auricularis anterior, superior, and posterior subtly adjust the pinna for better sound focus, though less active in humans than animals.

For those with hearing aids, the outer ear's shape ensures secure fit and minimal feedback. Moisture retention here heightens infection risk, linking anatomy to everyday care like drying post-swim.

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Common symptoms of an outer ear infection

When the outer ear hurts, it often signals an earache from pressure, trauma, or infection. Itching in the outer ear arises from dryness, allergies, or wax buildup, which can be exacerbated by hot Australian summers or device occlusion.

Outer ear infection symptoms escalate quickly: sharp pain (worse when tugging your earlobe or chewing), redness/swelling (especially tragus), clear/pus discharge, muffled hearing, and persistent itching in outer ear. Jaw movement aggravates canal inflammation.

Advanced signs include lymph node tenderness or fever, common in "swimmer's ear" prevalent among coastal residents.

Causes and risk factors of outer ear infections

Outer ear infection (otitis externa) thrives in moist environments—bacteria (Pseudomonas) or fungi invade post-swim, via cotton buds scratching skin, or from hearing aids retaining moisture. Australia's water sports amplify risks.

Predispositions: eczema/psoriasis on parts of the outer ear, diabetes impairing immunity, aggressive cleaning disrupting cerumen barrier, or ill-fitting aids rubbing the canal. Frequent flyers may face barotrauma causing outer ear hurts.

Hearing aid wearers risk "moisture trap" in the bony canal, leading to chronic earache outer ear if not dried properly.

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Diagnosis insights

GPs examine the ear using otoscopy, pulling the auricle upward/backward (adult canal angle) to view inflammation. They may test tragus by pinching for tenderness, and use a swab discharge to check cultures. An outer ear diagram will aid them with explaining conditions to patients.

Audiologists assess the impact on hearing thresholds, vital for aid adjustments amid outer ear anatomy changes from swelling.

Effective remedies for an outer ear infection

If an outer ear infection occurs it's usually important to prioritise drying: tilt head, use low/cool hairdryer 30cm away, or swim earplugs. OTC drops for outer ear infection (acetic acid 2% or hydrocortisone) soothe mild cases.

Prescription antibiotic/steroid drops (e.g., ciprofloxacin) target severe infections; oral antibiotics if spreading. For pain you may take paracetamol/ibuprofen. Swimming should be avoided until cleared of any infections.

For hearing aid users, nightly dehumidifier use ensures aids stay dry and prevents recurrence.

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Prevention strategies for outer ear infections

  • Dry ears meticulously post-shower/swim—use a towel to thouroughly dry your ears.
  • Use earplugs or custom moulds for surfing/beach days.
  • Do a weekly gentle clean with damp cloth; no swabs past the outer ear skin line.
  • Practice hearing aid hygiene: daily wipes, vent drying, professional checks quarterly.
  • Australians in humid QLD/NSW may benefit from silicone drops pre-water exposure.

FAQs about the outer ear

When is outer ear pain serious?

Seek urgent help for fever, facial weakness, or spreading swelling—this could signal deeper infection like malignant otitis in diabetics.

How long does an outer ear infection last?

Mild ones clear in 7-10 days with drops; chronic types linger over months without care. See a doctor if there's no improvement in 48 hours.

How can Australians prevent swimmer's ear?

Pat ears dry post-swim, use plugs for surfing, skip Q-tips, and apply vinegar-alcohol drops prophylactically. Hearing aid users benefit from dehumidifiers.

Can hearing aids cause outer ear issues?

Yes, they can trap moisture and rub the canal, sparking itching or infections. Dry hearing aids nightly and clean daily to protect the outer ear anatomy.

Why do I have itching in my outer ear?

Itching in the outer ear is often a sign of irritation or an outer ear infection. It can be caused by trapped moisture, allergies, or minor infections in the ear canal. While mild itching may resolve on its own, persistent or worsening itchiness should be checked by a healthcare professional to prevent further complications.

What drops are recommended for an outer ear infection?

Drops for outer ear infection can help reduce inflammation, relieve discomfort, and fight infection. Over-the-counter drops may contain soothing agents or mild antiseptics, but more severe infections may require prescription ear drops. Always follow medical advice and avoid inserting cotton swabs or other objects into the ear.

Have a look at our related contents

Learn more on how your hearing works, thanks to our experts contents. You can also have a look at our blog, with our lates news. 

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