Warning

History

Acutely painful ear +/- discharge +/- muffled hearing.

Clinical Findings

Inflamed ear canal with pus/debris.

Management

  • Water precautions/ avoid cotton buds/ in ear headphones.
  • Treat topically with Sofradex 3 drops X3/day for 1 week or Otomise 1 spray X3/day for 1 week with GP follow up if not improving.
  • If canal completely occluded can insert otowick which should be removed 2-3 days later.
  • If severe - for urgent ENT clinic referral.
  • If associated cranial nerve palsies discuss with ENT same day.
  • Take microbiology swabs if resistant to initial topical treatment or in immunocompromised patients.

Editorial Information

Last reviewed: 18/09/2023

Next review date: 18/09/2026

Author(s): Carr E.

Version: 1

Author email(s): esmond.carr@nhs.scot.

Approved By: McCarthy C

Reviewer name(s): Carr E.