{"id":7485,"date":"2026-07-22T18:43:39","date_gmt":"2026-07-22T18:43:39","guid":{"rendered":"https:\/\/ramib.org\/oficial\/?p=7485"},"modified":"2026-07-22T18:43:40","modified_gmt":"2026-07-22T18:43:40","slug":"otitis-externa-del-capbusso-a-la-consulta","status":"publish","type":"post","link":"https:\/\/ramib.org\/oficial\/index.php\/2026\/07\/22\/otitis-externa-del-capbusso-a-la-consulta\/","title":{"rendered":"Otitis externa: del capbuss\u00f3 a la consulta"},"content":{"rendered":"\n<p>P\u00edndola cient\u00edfica realitzada pel Dr. Guillermo Til P\u00e9rez, cap d&#8217;otorrinolaringologia de la Cl\u00ednica Rotger.<\/p>\n\n\n\n<p>Durant l&#8217;\u00e8poca de l&#8217;estiu, la consulta m\u00e8dica experimenta un increment de visites a causa de l&#8217;otitis externa, una inflamaci\u00f3 aguda del conducte auditiu coneguda popularment com l&#8217;\u00abo\u00efda de nedador\u00bb.<\/p>\n\n\n\n<p>Per entendre per qu\u00e8 es produeix i com evitar-la, el <strong>Dr. Guillermo Til<\/strong> ofereix una guia completa sobre les seves causes, s\u00edmptomes, prevenci\u00f3 i tractament en una sessi\u00f3 informativa de la <em>Reial Acad\u00e8mia de Medicina de les Illes Balears<\/em>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Qu\u00e8 \u00e9s l&#8217;otitis externa i per qu\u00e8 apareix?<\/h3>\n\n\n\n<p>L&#8217;otitis externa \u00e9s una inflamaci\u00f3 i infecci\u00f3 de la pell que recobreix el conducte auditiu extern.<\/p>\n\n\n\n<p>En condicions normals, el cerumen i la microbiota bacteriana de l&#8217;o\u00efda actuen com una barrera natural de protecci\u00f3. Aix\u00ed i tot, aquesta protecci\u00f3 s&#8217;altera per:<\/p>\n\n\n\n<ul>\n<li><strong>Humitat continuada:<\/strong> L&#8217;acumulaci\u00f3 d&#8217;aigua per banys prolongats macera la pell.<\/li>\n\n\n\n<li><strong>Microtraumatismes:<\/strong> L&#8217;\u00fas de bastonets de cot\u00f3 o d&#8217;altres objectes trenca la barrera protectora.<\/li>\n\n\n\n<li><strong>Condicions dermatol\u00f2giques:<\/strong> Pacients amb dermatitis o psoriasi tenen una major predisposici\u00f3.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">S\u00edmptomes: bacteriana vs. mic\u00f2tica (fongs)<\/h3>\n\n\n\n<p>\u00c9s fonamental distingir entre els dos tipus m\u00e9s freq\u00fcents d&#8217;otitis externa:<\/p>\n\n\n\n<ol start=\"1\">\n<li><strong>Otitis externa aguda (Bacteriana):<\/strong>\n<ul>\n<li><strong>Sintomatologia:<\/strong> Dolor d&#8217;o\u00efda (<em>otalgia<\/em>) intens i desproporcionat.<\/li>\n\n\n\n<li><strong>Signe caracter\u00edstic:<\/strong> Dolor agut en pr\u00e9mer la promin\u00e8ncia de l&#8217;o\u00efda (<em>signe del tragus<\/em>).<\/li>\n\n\n\n<li><strong>Altres s\u00edmptomes:<\/strong> Supuraci\u00f3, lleu hipoac\u00fasia (o\u00efda tapada) o sorolls molests.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Otomicosi (Infecci\u00f3 per fongs):<\/strong>\n<ul>\n<li><strong>Sintomatologia:<\/strong> Destaca una <strong>piconor o prurit intens<\/strong> en lloc del dolor agut.<\/li>\n\n\n\n<li><strong>Altres s\u00edmptomes:<\/strong> Sensaci\u00f3 de taponament i secreci\u00f3 del conducte.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Pautes de tractament i \u00fas de gotes<\/h3>\n\n\n\n<p>El diagn\u00f2stic \u00e9s cl\u00ednic i, en la majoria dels casos bacterians, el tractament consisteix en <strong>gotes \u00f2tiques amb antibi\u00f2tic i antiinflamatori<\/strong>, acompanyades d&#8217;analg\u00e8sia oral per controlar el dolor.<\/p>\n\n\n\n<ul>\n<li><strong>No es recomana l&#8217;\u00fas inicial d&#8217;antibi\u00f2tics orals<\/strong>, reservant-los \u00fanicament per a complicacions o pacients d&#8217;alt risc (com persones amb diabetis o immunodeprimides).<\/li>\n\n\n\n<li><strong>Correcta aplicaci\u00f3 de les gotes:<\/strong> Rentar-se les mans, atemperar el frasc, tombar-se sobre el costat sa, traccionar suaument de l&#8217;orella i instil\u00b7lar les gotes, romanent tombat uns 2-3 minuts.<\/li>\n\n\n\n<li>En otitis amb molta inflamaci\u00f3 que impedeixi l&#8217;entrada de la gota, l&#8217;especialista pot col\u00b7locar una metxa o gasa impregnada en pomada.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Consells de prevenci\u00f3<\/h3>\n\n\n\n<p>Per gaudir de l&#8217;aigua sense mol\u00e8sties auditives, es recomanen les seg\u00fcents mesures preventives:<\/p>\n\n\n\n<ul>\n<li><strong>Evitar bastonets:<\/strong> No introdu\u00efu cap mena d&#8217;objecte al conducte auditiu.<\/li>\n\n\n\n<li><strong>Assecat adequat:<\/strong> Despr\u00e9s del bany o de l&#8217;\u00fas d&#8217;aud\u00edfons, eixugueu la part externa de l&#8217;o\u00efda amb una tovallola o aire tebi de secador.<\/li>\n\n\n\n<li><strong>Soluci\u00f3 acidificant preventiva:<\/strong> En o\u00efdes sa (sense infecci\u00f3 activa ni perforaci\u00f3 de timp\u00e0), es pot emprar una barreja casolana de <strong>2\/3 d&#8217;alcohol i 1\/3 de vinagre de poma<\/strong>. Aplicar 2-3 gotes despr\u00e9s del bany ajuda a mantenir el pH \u00e0cid del conducte impedint el creixement bacteri\u00e0.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Quan cal acudir a l&#8217;especialista?<\/h3>\n\n\n\n<p>Si despr\u00e9s de <strong>72 hores<\/strong> d&#8217;iniciar el tractament t\u00f2pic no s&#8217;observa una millora clara del dolor o de la inflamaci\u00f3, \u00e9s imprescindible acudir a una reavaluaci\u00f3 m\u00e8dica per descartar un origen f\u00fangic o una manca de resposta al tractament.<\/p>\n\n\n\n<figure class=\"wp-block-embed aligncenter is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Otitis externa: del chapuz\u00f3n a la consulta\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/A3_VbCqtc6M?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>P\u00edndola cient\u00edfica realitzada pel Dr. Guillermo Til P\u00e9rez, cap d&#8217;otorrinolaringologia de la Cl\u00ednica Rotger. Durant l&#8217;\u00e8poca de l&#8217;estiu, la consulta m\u00e8dica experimenta un increment de visites a causa de l&#8217;otitis [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7487,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[14,24,1800,17],"tags":[],"_links":{"self":[{"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/posts\/7485"}],"collection":[{"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/comments?post=7485"}],"version-history":[{"count":1,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/posts\/7485\/revisions"}],"predecessor-version":[{"id":7489,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/posts\/7485\/revisions\/7489"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/media\/7487"}],"wp:attachment":[{"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/media?parent=7485"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/categories?post=7485"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ramib.org\/oficial\/index.php\/wp-json\/wp\/v2\/tags?post=7485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}