Ear Conditions in Adults

Ear conditions in adults are common and may involve hearing loss, infections, or damage following water exposure or trauma.

Dr Nicholas Phillips focuses on diagnosing and treating clearly defined ENT conditions such as outer ear infections, surfer’s ear (exostosis), and eardrum perforations

Understanding ear conditions in adults

The ears play crucial roles in hearing, maintaining balance, and protecting the delicate structures within from external elements.

Problems in the outer or middle ear—such as perforated eardrums or abnormal bone growths—can disrupt these functions.

Common scenarios include ear infections due to water exposure, hearing loss from damaged structures, or pain and discomfort arising from changes in air pressure during flying or diving.

Ear Exostosis (Surfer’s Ear)

Surfer’s ear (ear exostosis) is a bony overgrowth in the ear canal caused by repeated cold water exposure, which can lead to water trapping, hearing loss, and recurrent infections.

Ear Infections

Ear infections can affect the outer or middle ear, causing pain, hearing loss, or discharge—and while most resolve on their own, recurring or severe cases may need ENT assessment or treatment such as grommets.

Common causes of adult ear symptoms

When symptoms point to a clear ENT diagnosis

Some ear symptoms may indicate a treatable ENT condition, such as outer ear infections or structural damage from water exposure. Dr Phillips provides care for:

  • Surfer’s ear (exostosis) from repeated cold water exposure
  • Recurrent outer ear infections (otitis externa)
  • Eardrum perforations

He does not routinely treat symptoms like ear pressure or fullness when no anatomical or infective cause is found, as these are commonly linked to non-ENT issues such as stress, TMJ or dental-related factors.

Hearing loss

Hearing loss in adults frequently results from conductive problems, where sound is blocked or impaired by damage to the eardrum, middle ear bones, or ear canal.

This type of hearing loss can affect communication, professional responsibilities, and personal relationships.

Outer ear infections (otitis externa)

Pain caused by bacterial infection of the outer ear is often linked to water exposure or skin trauma. This condition is highly treatable with topical medication. Dr Phillips welcomes referrals for otitis externa that do not respond to standard care.

Water and pressure exposure

Individuals regularly exposed to cold water or wind—such as surfers or swimmers—are at higher risk of developing exostoses, commonly known as “surfer’s ear.”

These bony growths narrow the ear canal, trapping water and debris, which can lead to frequent infections and hearing impairment.

When to see an ENT specialist

Dr Phillips accepts referrals for the following:

  • Recurrent or persistent outer ear infections (otitis externa)
  • Hearing loss following infections or trauma
  • Known or suspected surfer’s ear (exostosis)
  • Diagnosed eardrum perforations

Importance of early assessment

Seeking early ENT assessment helps prevent further complications.

Conditions like chronic eardrum perforations or exostoses can lead to long-term issues if untreated, and early intervention can reduce the risk of permanent damage.

Supporting your ear health long-term

To maintain optimal ear health:

  • Keep ears dry during and after recovery periods. Use ear protection during water activities.

  • Avoid inserting cotton buds or any objects into the ear canal to prevent injury or infection.

  • Schedule regular hearing checks if you experience persistent hearing difficulties or recurrent infections.

Surgical procedures offered by Dr Phillips

Exostectomy

Surgical removal of bony growths in the ear canal to relieve blockage, reduce infections, and improve hearing.

Myringoplasty

A surgical repair of a perforated eardrum to reduce infections, protect the middle ear, and help improve hearing.

Book a consultation

If you have hearing loss, frequent outer ear infections, or ear symptoms after water exposure, Dr Phillips can assess the cause and discuss appropriate treatment options.