Otalgia medical therapy
|
Otalgia Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Otalgia medical therapy On the Web |
|
American Roentgen Ray Society Images of Otalgia medical therapy |
|
Risk calculators and risk factors for Otalgia medical therapy |
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.
Medical management of Otalgia caused by ear causes
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)