Guidelines for Otitis Externa and Discharging Ear Secondary to Grommets
- Dry mopping prior to topical drops.
- Use of cotton buds permitted with caution.
- Suction if available - syringing is often painful.
- If the ear canal is closed, then use Otowick.
- Topical agents
- First choice - Sofradex, Chloromycetin 3 drops TDS
- Second line - Maxitrol, Tobarax, Ciproxin HC 3 drops TDS
- Fungal - Locorten Vioform or Kenacomb
- Oral antibiotics is sometimes useful - recurrent upper respiratory tract infection
- Microbiological (MCS) ear swab if no improvement after five days of treatment
- Vosol is a good washing agent to remove debris / pus but can sting.
- Use with caution in perforation and grommets - 3 drops BD
- Diluted hydrogen peroxide 3% diluted 50:50 with saline is also a good debris removal solution.
- Use with caution when perforated or grommets - 5 drops BD
Specialist ENT Surgeon
For all enquiries and appointments call (09) 631 1950Gillies Hospital & Clinic
160 Gillies Avenue
Epsom, Auckland 1005
Facsimile: (09) 631 1951
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