n CME : Your SA Journal of CPD - The discharging ear : a practical approach : main topic

Volume 22, Issue 5
  • ISSN : 0256-2170



In most patients with a discharging ear, the diagnosis can be made based on the history and clinical examination. <br>Ear toilet and ototopical agents are the mainstay of treatment of most infective causes of otorrhoea. <br>The definitive treatment of CSOM is surgical, but ear toilet and topical antibiotics or antiseptics are used to prepare the ear for surgery. <br>Acute diffuse bacterial otitis externa is treated with ear toilet, topical antibiotics and steroids, and analgesics. <br>Acute otitis media with perforation of the tympanic membrane is treated with ear toilet, systemic antibiotics and symptomatically. Topical antibiotic drops may also be helpful. <br>Post-ventilation tube otorrhoea should be treated with ear toilet, antibiotic eardrops and systemic antibiotics. <br>The presence of vertigo, facial palsy or systemic symptoms in a patient with otorrhoea warrants urgent referral. <br>CSF otorrhoea is usually post-traumatic. Patients should be referred for further management.

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