title: [Treatment of therapy refractory chronic otitis externa by local injection of triamcinolone acetate crystalline suspension. Initial experiences].
abstract: OBJECTIVE
  External otitis is characterized by otalgia, otorrhea, itching, and hearing loss. Treatment usually consists of local application of corticosteroids and antibiotics. Chronic external otitis is accompanied by thickening of the skin in the external auditory channel. This reduces the effect of the applied substances. Local injection of suitable drugs may support the conservative treatment. The aim of the study was to evaluate the efficacy of local injection of triamcinolone acetonide in the external auditory channel.
  
  
  METHODS
  Thirteen patients with external otitis resistant to conservative treatment received an injection of triamcinolone acetonide in the external auditory channel. The improvement achieved was assessed by clinical examination and questionnaires.
  
  
  RESULTS
  The symptoms improved substantially in all patients; most of the patients were cured completely.
  
  
  CONCLUSIONS
  Our results demonstrate that local injection of triamcinolone acetonide is effective in the management of chronic external otitis.
authors.affiliation: Universitäts-Hals-Nasen-Ohrenklinik, Klinikum Mannheim, 68135 Mannheim. boris.stuck@hno.ma.uni-heidelberg.de
authors.forename: B A
authors.initials: BA
authors.lastname: Stuck
authors.forename: F
authors.initials: F
authors.lastname: Riedel
authors.forename: K
authors.initials: K
authors.lastname: Hörmann
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004424:Ear Canal / Q000187:drug effects; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D010032:Otitis Externa / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome; D014222:Triamcinolone Acetonide / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D014222:Triamcinolone Acetonide