![]() Topical antimicrobial otic preparations should be considered the first-line treatment foruncomplicated acute otitis externa.Ĭhoose specific preparation based on risk of adverse effects, tympanic membrane status, cost, adherence issues, etc.Īddition of a topical corticosteroid may result in faster resolution of symptoms such as pain, canal edema, and canal erythema. Chronic otitis externa is often caused by allergies or underlying inflammatory dermatologic conditions, and is treated by addressing the underlying causes.Īcute otitis externa should be distinguished from other possible causes of ear canal inflammation.ĭifferent and overlapping pathologies may require alteration in treatment Oral antibiotics are reserved for cases in which the infection has spread beyond the ear canal or in patients at risk of a rapidly progressing infection. Neomycin/polymyxin B/hydrocortisone preparations are a reasonable first-line therapy when the tympanic membrane is intact. The choice of treatment is based on a number of factors, including tympanic membrane status, adverse effect profiles, adherence issues, and cost. However, there is no good evidence that any one antimicrobial or antibiotic preparation is clinically superior to another. These agents come in preparations with or without topical corticosteroids the addition of corticosteroids may help resolve symptoms more quickly. Topical antimicrobials or antibiotics such as acetic acid, aminoglycosides, polymyxin B, and quinolones are the treatment of choice in uncomplicated cases. Tenderness with movement of the tragus or pinna is a classic finding. Acute otitis externa presents with the rapid onset of ear canal inflammation, resulting in otalgia, itching, canal edema, canal erythema, and otorrhea, and often occurs following swimming or minor trauma from inappropriate cleaning. ![]() ![]() ![]() The acute form is caused primarily by bacterial infection, with Pseudomonas aeruginosa and Staphylococcus aureus the most common pathogens. Acute otitis externa is a common condition involving inflammation of the ear canal. ![]()
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