Otitis Externa

Question 1

What is otitis externa?

Answer 1

inflammation of the skin in the ear canal which can lead to discharge

Question 2

What are the clinical features of otitis externa?

Answer 2

itching, irritation, chewing and manipulation of the tragus can cause pain, ear discharge

Question 3

When to refer?

Answer 3

1. Deafness
2. Persistent pain from within the ear
3. Tinnitus
4. Vertigo
5. Blocked ears
6. Discharge
7. Bleeding
8. N/V
9. Children <12 years

Question 4

What tx options are available for otitis externa?

Answer 4

1. Choline salicylate - Earex Plus - given >1 years ear should be filled with drops and then a cotton wool soaked within the ear - repeat every 3-4 hours
2. Acetic Acid (EarCalm Spray) - >12 years
   one spray TDS - continue for 2 days if no improvement seek medical attention