{"id":904,"date":"2025-04-04T15:41:09","date_gmt":"2025-04-04T12:41:09","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/infekcionnye-zabolevaniya-ushnoj-rakoviny\/"},"modified":"2026-06-24T13:03:30","modified_gmt":"2026-06-24T10:03:30","slug":"doencas-infecciosas-do-pavilhao-auricular","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/otorrinolaringologicas\/doencas-infecciosas-do-pavilhao-auricular\/","title":{"rendered":"Doen\u00e7as infecciosas do pavilh\u00e3o auricular: Etiologia, diagn\u00f3stico, tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">As doen\u00e7as infecciosas do pavilh\u00e3o auricular s\u00e3o inflama\u00e7\u00f5es localizadas da pele e dos tecidos subjacentes (fol\u00edculos pilosos, tecido adiposo subcut\u00e2neo, m\u00fasculos, cartilagem e peric\u00f4ndrio).<\/p>\n<h2 id=\"classificacao\" class=\"wp-block-heading\"><strong>Classifica\u00e7\u00e3o<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Infec\u00e7\u00f5es de pavilh\u00e3o auricular: <\/p>\n<ul class=\"wp-block-list\">\n<li>orvalho auricular;<\/li>\n<li>pericondrite do pavilh\u00e3o auricular;<\/li>\n<li><span class=\"glossary-term\" data-title=\"Abscesso\" data-tooltip=\"Um abcesso \u00e9 uma acumula\u00e7\u00e3o localizada de pus, limitada por uma c\u00e1psula e resultante de uma inflama\u00e7\u00e3o purulenta dos tecidos. Caracteriza-se pela presen\u00e7a de uma membrana piog\u00e9nica, que isola o foco dos tecidos saud\u00e1veis e impede a propaga\u00e7\u00e3o da infe\u00e7\u00e3o. \" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/abscesso\/\">abcesso<\/span> auricular;<\/li>\n<li>infe\u00e7\u00e3o herp\u00e9tica do t\u00edmpano do ouvido.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/238aaaf3-c046-49d2-a32b-590d7b0c31fe\/99f1aa5a-5d59-4c85-93db-5531348f1696\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelos 3D<\/a> de infec\u00e7\u00f5es de ouvido: <\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a641e9aee8ea\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/3d-model-erysipelas-of-the-auricle.webp\" alt=\"Orvalho auricular\"><span class=\"small-text-article text-main-text-color\">Orvalho auricular<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/2-auricular-perichondritis.webp\" alt=\"Pericondrite do pavilh\u00e3o auricular\"><span class=\"small-text-article text-main-text-color\">Pericondrite do pavilh\u00e3o auricular<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/Herpetic%20infection.webp\" alt=\"Erup\u00e7\u00e3o herp\u00e9tica no pavilh\u00e3o auricular\"><span class=\"small-text-article text-main-text-color\">Erup\u00e7\u00e3o herp\u00e9tica no pavilh\u00e3o auricular<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/Auricular%20abscess.webp\" alt=\"Abcesso auricular\"><span class=\"small-text-article text-main-text-color\">Abcesso auricular<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6a641e9aee8ea\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6a641e9aee8ea\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6a641e9aee8ea\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6a641e9aee8ea', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6a641e9aee8ea',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6a641e9aee8ea',\n                prevEl: '.carousel-swiper-button-prev-block_6a641e9aee8ea',\n            },\n        })\n    })\n<\/script><\/p>\n<h2 id=\"etiologia\" class=\"wp-block-heading\"><strong>Etiologia <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">O fator etiol\u00f3gico no desenvolvimento de infec\u00e7\u00f5es do ouvido externo \u00e9 a flora mista (bacteriana, viral e f\u00fangica). Uma condi\u00e7\u00e3o obrigat\u00f3ria \u00e9 a presen\u00e7a de fatores predisponentes, como:<\/p>\n<ul class=\"wp-block-list\">\n<li>traumatiza\u00e7\u00e3o e macera\u00e7\u00e3o da pele;<\/li>\n<li>redu\u00e7\u00e3o da acidez local;<\/li>\n<li>diminui\u00e7\u00e3o da reatividade do organismo;<\/li>\n<li>presen\u00e7a de patologias extraorg\u00e2nicas (dist\u00farbios metab\u00f3licos), incluindo estados de imunodefici\u00eancia.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Os pat\u00f3genos bacterianos mais comuns s\u00e3o:<\/p>\n<ul class=\"wp-block-list\">\n<li>estafilococos (<em>St. aureus<\/em>, <em>St. epidermidis<\/em>, <em>St. saprophyticus<\/em>);<\/li>\n<li>streptococci (\u03b2-hemol\u00edtico do grupo A);<\/li>\n<li><em>Escherichia coli<\/em>.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">As infec\u00e7\u00f5es mais graves s\u00e3o causadas pela:<\/p>\n<ul class=\"wp-block-list\">\n<li>bact\u00e9ria do g\u00eanero Pseudomonas (<em>Pseudomonas aeruginosa<\/em>);<\/li>\n<li>proteus (<em>Proteus mirabilis<\/em>);<\/li>\n<li>klebsiella.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Infec\u00e7\u00e3o herp\u00e9tica \u00e9 causada pelo v\u00edrus herpes simples tipo 1 (<em>Herpes simplex<\/em>) e tipo 3 (<em>Varicella zoster<\/em>).<\/p>\n<h2 id=\"anatomia\" class=\"wp-block-heading\"><strong>Anatomia <\/strong><\/h2>\n<h3 id=\"orvalho-auricular\" class=\"wp-block-heading\"><strong>Orvalho auricular<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">Erisipela de pavilh\u00e3o auricular (<em>erysipelas<\/em>) \u00e9 uma doen\u00e7a infecciosa aguda da pele e do tecido subcut\u00e2neo do do pavilh\u00e3o auricular (incluindo o l\u00f3bulo da orelha).<\/p>\n<p class=\"wp-block-paragraph\">A \u00e1rea afetada geralmente se estende fora da orelha, atingindo o pesco\u00e7o, as t\u00eamporas e as bochechas. Ela \u00e9 delimitada do tecido saud\u00e1vel pela <span class=\"glossary-term\" data-title=\"Linha de demarca\u00e7\u00e3o\" data-tooltip=\"A linha de demarca\u00e7\u00e3o \u00e9 um limite vis\u00edvel que se forma no corpo entre \u00e1rea necr\u00f3tica (morta) e tecido saud\u00e1vel e vi\u00e1vel. Representa uma \u00e1rea estreita de inflama\u00e7\u00e3o reativa.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/linha-de-demarcacao\/\">linha de demarca\u00e7\u00e3o<\/span>. A pele fica hiper\u00eamica, infiltrada e oleosa, enquanto a pr\u00f3pria orelha se torna muito inchada. Os linfonodos pr\u00f3ximos est\u00e3o envolvidos no processo, resultando na linfadenite regional.<\/p>\n<p class=\"wp-block-paragraph\">Em alguns casos, podem se formar na pele bolhas com l\u00edquido seroso ou serossanguinolento, que posteriormente se rompem e formam a casquinha.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-erisipela-do-pavilhao-auricular\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/erysipelas-of-auricle-horizontal-with-watermark.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 erisipela do pavilh\u00e3o auricular<\/figcaption><\/figure>\n<h3 id=\"pericondrite-do-pavilhao-auricular\" class=\"wp-block-heading\"><strong>Pericondrite do pavilh\u00e3o auricular<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">Pericondrite do pavilh\u00e3o auricular \u00e9 uma inflama\u00e7\u00e3o difusa do peric\u00f4ndrio. A pele est\u00e1 envolvida, mas o l\u00f3bulo da orelha permanece intacto.<\/p>\n<p class=\"wp-block-paragraph\">Normalmente, essa condi\u00e7\u00e3o se desenvolve quando a infec\u00e7\u00e3o penetra atrav\u00e9s da pele lesada ou como resultado da supura\u00e7\u00e3o de hematoma ou seroma n\u00e3o drenado do pavilh\u00e3o auricular ap\u00f3s a les\u00e3o. Em alguns casos, a inflama\u00e7\u00e3o pode desenvolver-se como uma complica\u00e7\u00e3o da otite externa.<\/p>\n<p class=\"wp-block-paragraph\">Localmente, observa-se a hiperemia e a infiltra\u00e7\u00e3o heterog\u00eanea do pavilh\u00e3o auricular. O processo n\u00e3o se estende fora do pavilh\u00e3o auricular ou ao l\u00f3bulo da orelha.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-pericondrite-do-pavilhao-auricular\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/perichondritis-hor-logo-sound.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 pericondrite do pavilh\u00e3o auricular<\/figcaption><\/figure>\n<h3 id=\"abcesso-auricular\" class=\"wp-block-heading\"><strong>Abcesso auricular<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">Abscesso no pavilh\u00e3o auricular \u00e9 uma cole\u00e7\u00e3o localizada de conte\u00fado purulento entre o peric\u00f4ndrio e a cartilagem. Desenvolve-se na aus\u00eancia ou no tratamento inadequado da pericondrite, na infec\u00e7\u00e3o do hematoma auricular e, al\u00e9m disso, na presen\u00e7a de condi\u00e7\u00f5es de imunodefici\u00eancia.<\/p>\n<p class=\"wp-block-paragraph\">No pavilh\u00e3o auricular hiper\u00eamico e inchado, est\u00e1 localizada uma grande cavidade preenchida com conte\u00fado purulento. A pele est\u00e1 tensa, e pode ser observada a flutua\u00e7\u00e3o.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-abscesso-no-pavilhao-auricular\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/auricular-abscess.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 abscesso no pavilh\u00e3o auricular<\/figcaption><\/figure>\n<h3 id=\"infecao-herpetica-do-timpano-do-ouvido\" class=\"wp-block-heading\"><strong>Infe\u00e7\u00e3o herp\u00e9tica do t\u00edmpano do ouvido<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">A infec\u00e7\u00e3o herp\u00e9tica de pavilh\u00e3o auricular \u00e9 uma les\u00e3o cut\u00e2nea recorrente causada pelo v\u00edrus herpes simples tipo 1 ou 3.<\/p>\n<p class=\"wp-block-paragraph\">Ap\u00f3s a infec\u00e7\u00e3o, o v\u00edrus herpes permanece latente nos g\u00e2nglios nervosos (per\u00edodo de remiss\u00e3o). Quando exposto a fatores externos (imunidade baixa, estresse, radia\u00e7\u00e3o UV, progress\u00e3o de doen\u00e7as cr\u00f4nicas, etc.), o v\u00edrus fica ativado e se espalha ao longo das fibras nervosas, causando as manifesta\u00e7\u00f5es cut\u00e2neas caracter\u00edsticas (fase de exacerba\u00e7\u00e3o).<\/p>\n<p class=\"wp-block-paragraph\">Na pele eritematosa e inchada, surgem m\u00faltiplas ves\u00edculas que se rompem em 2 a 3 dias e ficam cobertas pelas casquinhas. A casquinha ent\u00e3o cai, levando \u00e0 cicatriza\u00e7\u00e3o completa. Ao co\u00e7ar as ves\u00edculas ou a casquinha, pode ocorrer uma infec\u00e7\u00e3o bacteriana, complicando e prolongando o curso da doen\u00e7a.<\/p>\n<p class=\"wp-block-paragraph\">No caso do HSV tipo 1 (<em>Herpes simplex<\/em>), a erup\u00e7\u00e3o cut\u00e2nea se espalha de forma ca\u00f3tica, sem localiza\u00e7\u00e3o definida. No caso do v\u00edrus herpes tipo 3 (<em>Varicella zoster<\/em>), a doen\u00e7a se manifesta inicialmente como catapora (na maioria das vezes, ocorre na inf\u00e2ncia) e, ap\u00f3s um per\u00edodo prolongado de remiss\u00e3o e reativa\u00e7\u00e3o viral, desenvolve-se o herpes-z\u00f3ster (<em>Herpes zoster oticus<\/em>). Uma grande \u00e1rea da pele na proje\u00e7\u00e3o de nervo espec\u00edfico (<span class=\"glossary-term\" data-title=\"Derm\u00e1tomo\" data-tooltip=\"Um derm\u00e1tomo \u00e9 uma \u00e1rea da pele inervada por fibras nervosas sensoriais provenientes de uma \u00fanica raiz nervosa espinhal (um \u00fanico segmento da medula espinhal). Cada um desses segmentos (exceto o primeiro cervical, C1) corresponde a uma determinada \u00e1rea na superf\u00edcie do corpo.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/dermatomo\/\">derm\u00e1tomo<\/span>), geralmente o nervo facial, \u00e9 afetada, o que leva \u00e0 sua <span class=\"glossary-term\" data-title=\"Paresia do nervo facial\" data-tooltip=\"A paresia do nervo facial \u00e9 um enfraquecimento ( incapacidade parcial de movimento) dos m\u00fasculos da face de um lado, enquanto a paralisia \u00e9 a perda total desses movimentos. Esta condi\u00e7\u00e3o resulta de uma les\u00e3o ou disfun\u00e7\u00e3o do nervo facial (VII par de nervos cranianos).\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/paralisia-do-nervo-facial\/\">paresia<\/span> ou paralisia. Quando o g\u00e2nglio geniculado \u00e9 afetado, desenvolve-se a s\u00edndrome de Ramsay Hunt. Em casos raros, o processo pode se espalhar ao nervo trig\u00eameo ou ao nervo vestibulococlear.<\/p>\n<p class=\"wp-block-paragraph\">Al\u00e9m da pele do pavilh\u00e3o auricular e do meato ac\u00fastico externo, o processo pode se espalhar ao longo do nervo facial at\u00e9 o t\u00edmpano. Em casos graves, o processo de infec\u00e7\u00e3o afeta o sistema nervoso central, levando \u00e0 meningite ou \u00e0 encefalite. Na presen\u00e7a de estados de imunodefici\u00eancia, o v\u00edrus herpes se espalha por todo o corpo, desenvolvendo uma infec\u00e7\u00e3o generalizada, sendo dif\u00edcil de tratar e frequentemente recorrente.<\/p>\n<figure class=\"wp-block-video\" id=\"animacao-3d-infeccao-herpetica-de-pavilhao-auricular\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Otorhinolaryngology\/Infectious%20diseases%20of%20the%20auricle\/herpetic-infection-of-the-external-auricle.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D \u2013 infec\u00e7\u00e3o herp\u00e9tica de pavilh\u00e3o auricular<\/figcaption><\/figure>\n<h2 id=\"manifestacoes-clinicas-das-infeccoes-do-ouvido\" class=\"wp-block-heading\"><strong>Manifesta\u00e7\u00f5es cl\u00ednicas das infec\u00e7\u00f5es do ouvido<\/strong><\/h2>\n<h3 id=\"curso-e-sintomas-da-erisipela-de-pavilhao-auricular\" class=\"wp-block-heading\">Curso e sintomas da erisipela de pavilh\u00e3o auricular<\/h3>\n<p class=\"wp-block-paragraph\">A erisipela de pavilh\u00e3o auricular \u00e9 caracterizada por altera\u00e7\u00f5es locais e pela presen\u00e7a de intoxica\u00e7\u00e3o generalizada acentuada. A febre, que pode atingir n\u00edveis febris, \u00e9 acompanhada por fraqueza, dor de cabe\u00e7a e poss\u00edvel v\u00f4mito.<\/p>\n<p class=\"wp-block-paragraph\">Localmente, observa-se a hiperemia e o incha\u00e7o acentuados do pavilh\u00e3o auricular (incluindo o l\u00f3bulo da orelha). Em alguns casos, o processo se espalha para \u00e1reas adjacentes (pesco\u00e7o, regi\u00e3o retroauricular e bochechas). A \u00e1rea afetada fica claramente delimitada do tecido saud\u00e1vel. A palpa\u00e7\u00e3o revela dor aguda, e a pele est\u00e1 quente e oleosa. Os linfonodos regionais aumentam de tamanho: eles ficam sens\u00edveis, el\u00e1sticos e n\u00e3o est\u00e3o fundidos com os tecidos circundantes.<\/p>\n<h3 id=\"caracteristicas-clinicas-da-pericondrite\" class=\"wp-block-heading\">Caracter\u00edsticas cl\u00ednicas da pericondrite<\/h3>\n<p class=\"wp-block-paragraph\">A pericondrite do pavilh\u00e3o auricular \u00e9 caracterizada por altera\u00e7\u00f5es gerais t\u00edpicas. A pele se torna hiper\u00eamica e inchada de maneira irregular na proje\u00e7\u00e3o da cartilagem do pavilh\u00e3o auricular; o processo nunca se espalha ao l\u00f3bulo da orelha ou \u00e0s \u00e1reas adjacentes. O pavilh\u00e3o auricular \u00e9 fortemente doloroso, a dor \u00e9 dolorosa, semelhante a um ataque, a regi\u00e3o atr\u00e1s da orelha n\u00e3o \u00e9 alterada. A intoxica\u00e7\u00e3o generalizada \u00e9 incomum; em casos raros, pode-se observar a febre baixa persistente. Sem tratamento adequado, o processo pode se espalhar mais profundamente, resultando no abscesso no pavilh\u00e3o auricular. Consequentemente, mesmo com tratamento adequado, podem surgir cicatrizes parecidas com uma couve-flor.<\/p>\n<h3 id=\"quadro-clinico-do-abscesso-no-pavilhao-auricular\" class=\"wp-block-heading\">Quadro cl\u00ednico do abscesso no pavilh\u00e3o auricular<\/h3>\n<p class=\"wp-block-paragraph\">O abscesso no pavilh\u00e3o auricular, como mencionado anteriormente, se desenvolve ap\u00f3s um trauma pr\u00e9vio de orelha. Ele \u00e9 caracterizado por tens\u00e3o, dor e altera\u00e7\u00e3o na forma do pavilh\u00e3o auricular (na maioria dos casos, afeta as fossas triangular e escaf\u00f3idea), sendo acompanhado por sintomas de intoxica\u00e7\u00e3o generalizada (fraqueza, febre, calafrios). A cavidade com conte\u00fado purulento est\u00e1 circundada por uma c\u00e1psula, apresenta protuber\u00e2ncias, flutua \u00e0 palpa\u00e7\u00e3o e pode atingir um tamanho que obstrua completamente o meato ac\u00fastico externo. Se n\u00e3o for tratado, o abscesso pode romper-se espontaneamente em 3 a 4 dias, liberando abundante a secre\u00e7\u00e3o purulenta.<\/p>\n<h3 id=\"manifestacoes-da-infeccao-herpetica-de-pavilhao-auricular\" class=\"wp-block-heading\">Manifesta\u00e7\u00f5es da infec\u00e7\u00e3o herp\u00e9tica de pavilh\u00e3o auricular<\/h3>\n<p class=\"wp-block-paragraph\">A infec\u00e7\u00e3o herp\u00e9tica causada pelo HSV tipo 1 se manifesta como altera\u00e7\u00f5es localizadas na \u00e1rea afetada. Na fase de exacerba\u00e7\u00e3o, surgem erup\u00e7\u00f5es vesiculares profusas na pele hiper\u00eamica, sendo acompanhadas por coceira intensa; a dor \u00e9 uma manifesta\u00e7\u00e3o incomum. Nos dias 2 a 3, as ves\u00edculas se rompem, formando eros\u00f5es que, em seguida, ficam cobertas pela casquinha. Nos dias 5 a 7, a casquinha cai e a pele cicatriza. As manifesta\u00e7\u00f5es gerais n\u00e3o s\u00e3o caracter\u00edsticas. Em casos raros, alguns dias antes do aparecimento da erup\u00e7\u00e3o cut\u00e2nea, podem ocorrer a febre baixa e dor de cabe\u00e7a. Essa forma de infec\u00e7\u00e3o herp\u00e9tica \u00e9 propensa a reincid\u00eancias frequentes.<\/p>\n<p class=\"wp-block-paragraph\">O herpes-z\u00f3ster, causado pela <em>Varicella zoster<\/em>, apresenta algumas diferen\u00e7as no seu quadro cl\u00ednico. Como mencionado anteriormente, esta \u00e9 a segunda fase da doen\u00e7a que ocorre como resultado da a\u00e7\u00e3o do v\u00edrus da catapora. A infec\u00e7\u00e3o \u00e9 mais comum em idosos e pessoas com imunidade baixa.<\/p>\n<p class=\"wp-block-paragraph\">A fase inicial da doen\u00e7a \u00e9 caracterizada por coceira intensa, queima\u00e7\u00e3o e dor aguda e latejante no local da futura erup\u00e7\u00e3o cut\u00e2nea. A temperatura tamb\u00e9m pode subir at\u00e9 aos n\u00edveis febris; podem ocorrer calafrios e dor de cabe\u00e7a. As altera\u00e7\u00f5es locais surgem nos dias 2 e 3. Na pele hiper\u00eamica, se formam as ves\u00edculas, espalhando-se ao longo do nervo afetado que corresponde a um derm\u00e1tomo espec\u00edfico. A erup\u00e7\u00e3o cut\u00e2nea pode coalescer; o processo \u00e9 sempre unilateral, \u00e0s vezes afetando v\u00e1rios derm\u00e1tomos adjacentes. A coceira e a dor intensas n\u00e3o diminuem e, em alguns casos, podem surgir a ansiedade e a ins\u00f4nia. Os pacientes podem co\u00e7ar a erup\u00e7\u00e3o cut\u00e2nea at\u00e9 a forma\u00e7\u00e3o de casquinha hemorr\u00e1gica, o que frequentemente leva a uma infec\u00e7\u00e3o bacteriana.<\/p>\n<p class=\"wp-block-paragraph\">Entre dias 5 e 7, as ves\u00edculas se rompem, formando eros\u00f5es que, em seguida, formam a casquinha e caem ap\u00f3s alguns dias. Nesse local, podem permanecer \u00e1reas de despigmenta\u00e7\u00e3o. O herpes-z\u00f3ster \u00e9 caracterizado por neuralgia p\u00f3s-herp\u00e9tica, na qual a dor ao longo do nervo afetado persiste por v\u00e1rios meses e, em casos raros, por v\u00e1rios anos.<\/p>\n<h2 id=\"diagnostico\" class=\"wp-block-heading\"><strong>Diagn\u00f3stico <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Para estabelecer o diagn\u00f3stico, s\u00e3o necess\u00e1rios a anamnese, um exame da \u00e1rea afetada e a otoscopia.<\/p>\n<p class=\"wp-block-paragraph\">Os exames cl\u00ednicos e laboratoriais incluem o hemograma completo e a bioqu\u00edmica sangu\u00ednea (para avaliar o n\u00edvel da inflama\u00e7\u00e3o e da glicemia). Se houver secre\u00e7\u00e3o, \u00e9 realizado um exame de cultura bacteriana para determinar o pat\u00f3geno e sua sensibilidade aos medicamentos.<\/p>\n<p class=\"wp-block-paragraph\">Para detectar uma infec\u00e7\u00e3o viral, s\u00e3o usados os exames PCR, ELISA ou de sorologia. Complica\u00e7\u00f5es s\u00e3o avaliadas por <span class=\"glossary-term\" data-title=\"Tomografia computorizada\" data-tooltip=\"A tomografia computadorizada \u00e9 um exame de imagem que usa raios X para obter imagens transversais (cortes) de \u00f3rg\u00e3os e tecidos internos. \u00c9 uma das principais t\u00e9cnicas de imagem da medicina moderna, com elevado n\u00edvel de gera\u00e7\u00e3o de informa\u00e7\u00e3o.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/tc-tomografia-computadorizada\/\">TC<\/span> e <span class=\"glossary-term\" data-title=\"RM (Resson\u00e2ncia magn\u00e9tica)\" data-tooltip=\"A resson\u00e2ncia magn\u00e9tica (RM) \u00e9 uma t\u00e9cnica de imagem moderna n\u00e3o invasiva que produz imagens em camadas altamente detalhadas de \u00f3rg\u00e3os e tecidos internos. O m\u00e9todo baseia-se no fen\u00f3meno da resson\u00e2ncia magn\u00e9tica nuclear. A principal vantagem da RM \u00e9 a aus\u00eancia de radia\u00e7\u00e3o ionizante.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/rm\/\">RM<\/span>. Al\u00e9m disso, podem ser realizados cultivo de sangue para esterilidade e pun\u00e7\u00e3o lombar.<\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"tratamento-de-infeccoes-do-ouvido\" class=\"wp-block-heading\"><strong>Tratamento de infec\u00e7\u00f5es do ouvido<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">No tratamento das infec\u00e7\u00f5es de pavilh\u00e3o ouricular (exceto a infec\u00e7\u00e3o herp\u00e9tica), prevalece a antibioticoterapia sist\u00eamica (oral ou parenteral) a crit\u00e9rio do m\u00e9dico assistente.<\/p>\n<p class=\"wp-block-paragraph\">Os antibi\u00f3ticos do grupo das penicilinas s\u00e3o os medicamentos de escolha. Eles podem ser prescritos em combina\u00e7\u00e3o com as fluoroquinolonas. O tratamento \u00e9 ajustado com base nos resultados dos exames microbiol\u00f3gicos.<\/p>\n<p class=\"wp-block-paragraph\">A \u00e1rea afetada \u00e9 tratada topicamente com antiss\u00e9pticos secantes.<\/p>\n<p class=\"wp-block-paragraph\">\u00c9 necess\u00e1rio incisar o abscesso no pavilh\u00e3o auricular, remover o conte\u00fado purulento e realizar a drenagem. Em seguida, \u00e9 aplicado um curativo com troca di\u00e1ria at\u00e9 que a secre\u00e7\u00e3o patol\u00f3gica pare. Durante o per\u00edodo de recupera\u00e7\u00e3o, s\u00e3o utilizados medicamentos regeneradores e cicatrizantes.<\/p>\n<p class=\"wp-block-paragraph\">Para tratar infec\u00e7\u00f5es herp\u00e9ticas, s\u00e3o usados os antivirais como aciclovir, valaciclovir e famciclovir (o medicamento de escolha). O tratamento sintom\u00e1tico inclui os anti-histam\u00ednicos, os anti-inflamat\u00f3rios n\u00e3o-esteroides, a terapia de infus\u00e3o e, em casos graves, os glicocorticoides. Para tratar a \u00e1rea afetada, s\u00e3o usadas solu\u00e7\u00f5es antiss\u00e9pticas secantes de forma t\u00f3pica.<\/p>\n<p class=\"wp-block-paragraph\">Para aliviar a dor, incluindo a neuralgia p\u00f3s-herp\u00e9tica, s\u00e3o usados metamizol, gabapentina, pregabalina e antidepressivos tric\u00edclicos. Em casos graves, s\u00e3o prescritos analg\u00e9sicos opioides (tramadol, morfina).<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Quais s\u00e3o os sintomas de infec\u00e7\u00e3o de pavilh\u00e3o auricular?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os sintomas dependem do tipo de infec\u00e7\u00e3o. A erisipela \u00e9 caracterizada por vermelhid\u00e3o intensa, incha\u00e7o, dor e febre, podendo incluir bolhas cheias de l\u00edquido. A pericondrite se manifesta como vermelhid\u00e3o, incha\u00e7o (exceto no l\u00f3bulo da orelha), dor e poss\u00edvel deformidade do pavilh\u00e3o auricular. O abscesso \u00e9 caracterizado por um incha\u00e7o doloroso contendo pus, flutua\u00e7\u00e3o e febre. A infec\u00e7\u00e3o herp\u00e9tica causa bolhas que co\u00e7am e se rompem, formando a casquinha; o herpes-z\u00f3ster pode causar dor intensa ao longo do nervo.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quais pat\u00f3genos causam as infec\u00e7\u00f5es de pavilh\u00e3o auricular?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os principais pat\u00f3genos s\u00e3o bact\u00e9rias (estafilococos, estreptococos, Pseudomonas aeruginosa, Proteus e Klebsiella), v\u00edrus (<em>Herpes simplex<\/em> tipo 1 e <em>Varicella zoster<\/em>) e fungos (menos comuns, geralmente ocorrem como resultado da imunodefici\u00eancia).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quais fatores contribuem para o desenvolvimento das infec\u00e7\u00f5es?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os fatores de risco incluem o trauma de orelha (arranh\u00f5es, perfura\u00e7\u00f5es, queimaduras), a imunidade baixa (HIV, diabetes, doen\u00e7as cr\u00f4nicas), a ruptura da barreira cut\u00e2nea (macera\u00e7\u00e3o, eczema) e cuidados com a orelha inadequados (uso frequente de fones de ouvido, cotonetes).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Como as infec\u00e7\u00f5es de pavilh\u00e3o auricular s\u00e3o diagnosticadas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O diagn\u00f3stico inclui um exame realizado pelo otorrinolaringologista, a otoscopia, os exames de sangue (o hemograma e a bioqu\u00edmica), a cultura bacteriana, o PCR ou o ELISA (para infec\u00e7\u00f5es herp\u00e9ticas). Em casos complexos, s\u00e3o realizados a TC e a RM (se houver suspeita de complica\u00e7\u00f5es).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Complica\u00e7\u00f5es s\u00e3o poss\u00edveis?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim. S\u00e3o poss\u00edveis a deformidade da orelha (ap\u00f3s a pericondrite), o espalhamento da infec\u00e7\u00e3o para a cartilagem, a orelha m\u00e9dia ou as meninges, e tamb\u00e9m a neuralgia p\u00f3s-herp\u00e9tica (dor cr\u00f4nica ap\u00f3s o herpes-z\u00f3ster).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Como as infec\u00e7\u00f5es de pavilh\u00e3o auricular podem ser prevenidas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A preven\u00e7\u00e3o inclui evitar traumas de orelha, n\u00e3o limpar as orelhas com cotonetes, tratar doen\u00e7as de pele (eczema, dermatite) de forma oportuna, fortalecer o sistema imunol\u00f3gico e controlar as doen\u00e7as cr\u00f4nicas (como diabetes).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas (VOKA 3D Anatomia e Patologia \u2013 Atlas 3D completo de anatomia e patologia) [Internet]. VOKA 3D Anatomy & Pathology [VOKA 3D Anatomia & Patologia]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sclafani AP, Dyleski RA, Pitman MJ, Schantz SP. Total otolaryngology\u2014head and neck surgery (Otolaringologia completa\u2014cirurgia de pesco\u00e7o e cabe\u00e7a). Nova York: Thieme Medical Publishers; 2015. ISBN: 978-1-60406-646-3.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Behrbohm H, Kaschke O, Nawka T, Swift A. Bolezni ukha, gorla i nosa [Ear, nose, and throat diseases]. 2a ed. Moscou: MEDpress-inform; 2016. 776 p. [Em russo.] ISBN 978-5-00030-322-1.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Mitchell S, Ditta K, Minhas S, Dezso A. Pinna abscesses: can we manage them better? A case series and review of the literature. Eur Arch Otorhinolaryngol. 2015 Nov;272(11):3163-7. doi: 10.1007\/s00405-014-3346-2. Epub 2014 Out 28. PMID: 25348338.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Spiller WHS, Aggarwal R. Pathology Clinic: Herpes Simplex Infection of the Pinna. Ear Nose Throat J. 2019 Mar;98(3):134-135. doi: 10.1177\/0145561318824510. Epub 2019 Jan 28. PMID: 30938246.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Prasad HK, Sreedharan S, Prasad HS, Meyyappan MH, Harsha KS. Perichondritis of the auricle and its management. J Laryngol Otol. 2007 Jun;121(6):530-4. doi: 10.1017\/S0022215107005877. Epub 2007 Feb 26. PMID: 17319983.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rivera-Morales MD, Rodr\u00edguez-Bel\u00e9n JL, Vera A, Ganti L. Perichondritis: Not All Ear Pain Is Otitis. Cureus. 2020 Oct 24;12(10):e11141. doi: 10.7759\/cureus.11141. PMID: 33251051; PMCID: PMC7686808.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As doen\u00e7as infecciosas do pavilh\u00e3o auricular s\u00e3o inflama\u00e7\u00f5es localizadas da pele e dos tecidos subjacentes (fol\u00edculos pilosos, tecido adiposo subcut\u00e2neo, m\u00fasculos, cartilagem e peric\u00f4ndrio). Classifica\u00e7\u00e3o Infec\u00e7\u00f5es de pavilh\u00e3o auricular: Modelos 3D de infec\u00e7\u00f5es de ouvido: Etiologia O fator etiol\u00f3gico no desenvolvimento de infec\u00e7\u00f5es do ouvido externo \u00e9 a flora mista (bacteriana, viral e f\u00fangica). Uma [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[301],"class_list":["post-904","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-otorrinolaringologicas"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Doen\u00e7as infecciosas do pavilh\u00e3o auricular: Etiologia, diagn\u00f3stico, tratamento<\/title>\n<meta name=\"description\" content=\"As doen\u00e7as infecciosas do pavilh\u00e3o auricular s\u00e3o inflama\u00e7\u00f5es localizadas da pele e dos tecidos subjacentes. 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