External otitis: Treatment
- Laura A Goguen, MD
Laura A Goguen, MD
- Associate Professor in Otology and Laryngology
- Harvard Medical School
- Section Editors
- Daniel G Deschler, MD, FACS
Daniel G Deschler, MD, FACS
- Section Editor — Otorhinolaryngology
- Professor of Otology and Laryngology
- Harvard Medical School
- Morven S Edwards, MD
Morven S Edwards, MD
- Section Editor — Pediatric Infectious Diseases
- Professor of Pediatrics
- Baylor College of Medicine
The term external otitis (also known as otitis externa or swimmer’s ear) refers to inflammation of the external auditory canal or auricle.
There are five fundamental steps in the management of external otitis:
●Thoroughly clean the ear canal
●Treat inflammation and infection
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- CLEANING THE EAR CANAL
- TREATMENT OF INFLAMMATION AND INFECTION
- Topical therapy
- - Topical preparations
- Acidifying solutions
- Combination therapy
- - Choice of topical agent
- - Installation and duration of therapy
- Wick placement
- Oral antibiotics
- PAIN CONTROL
- AVOIDING PROMOTING FACTORS
- TREATMENT OF ASSOCIATED CONDITIONS
- Contact dermatitis
- Carcinoma of the ear canal
- Periauricular cellulitis
- Malignant external otitis
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS