Otalgia medical therapy

Otalgia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S[2]

Overview

Treatment of Otalgia lies in identifying the pathology, whether it exists within the ear or elsewhere.

• Antibiotics are used to treat infectious causes like Otitis media, Otitis externa, tonsillitis, Pharyngitis etc.,

• Antivirals can be used for viral causes like herpes zoster oticus.

• Antifungals for Oral thrush.

• NSAIDs if myalgias and neuralgias are suspected. Re-examine the patient after 2 weeks trial of NSAIDs.

Appropriate consultation with a neurologist, dentist, gastroenterologist etc., should be done.

Treatment

• Warm compress
• Physical therapy, dental bite adjustment (TMJ)
• Remove foreign bodies with a curette

Pharmacotherapy

Acute Pharmacotherapies

• Control pain with acetaminophen, nonsteriodal anti-inflammatory drugs (NSAIDs), and topical benzocaine solution
• Antibiotics (otitis media, otitis externa, pharyngitis / tonsillitis)
• NSAIDs for TMJ
• Steroid drops, 8% aluminum acetate +/- 2% acetic acid (otitis externa)
• Antistaphylococcal antibiotics, IV antipseudomonal (malignant otitis externa)
• Decongestants (barotrauma)

References

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