Itchy and smelly yellowish fluid in the ear may be related to middle ear cholesteatoma with infection, chronic suppurative otitis media in active stage, external auditory canal cholesteatoma complicating chronic diffuse otitis externa, which needs to be selected according to the etiology and characteristics of the disease, general treatment, drug treatment and surgical treatment.
1. Middle ear cholesteatoma with infection: this disease is a cystic structure formed by keratinized squamous epithelium in the middle ear, in the middle of which white epithelial tissue often accumulates, and the inflammatory pus often has a special bad smell, which can cause itching in the ear. Treatment is mainly surgical, and tympanoplasty is often chosen to remove the diseased tissue in order to obtain a dry ear.
2. Chronic suppurative otitis media active stage: often due to acute suppurative otitis media delay, pus flows to the ear canal to stimulate the nerve in the ear and itchy, there may be odor. Clinically, 3% hydrogen peroxide solution is often used to clean the pus, antibiotic ear baths such as ofloxacin ear drops, oral moxifloxacin and other anti-infective treatments, and surgical treatment can be considered after drying the ear.
3. Chronic diffuse otitis externa caused by cholesteatoma of the external auditory canal: yellow secretion is often found in the external auditory canal of this disease, which causes itching of the ear, accompanied by foul smell. The secretion stimulates the external auditory canal, which may cause chronic diffuse otitis externa and itchy feeling in the ear. Cholesteatoma can be removed promptly on the basis of anti-infection treatment with antibiotics such as amoxicillin and cefixime.
When the occurrence of itching in the ear and yellow fluid is very smelly, you should actively seek medical treatment, systematic examination, clear diagnosis, and standardized treatment in accordance with the doctor’s instructions.