علاج التهاب الأذن الخارجية في حالة ثقب طبلة الأذن المؤكد أو المشتبه به

References

DOI: 10.1177/0194599813517083

1. When the patient has a known or suspected perforation of the tympanic membrane, including a tympanostomy tube, the clinician should prescribe a non-ototoxic topical preparation.
2. The clinician should assess patients with AOE for pain and recommend analgesic treatment based on the severity of pain.
3. If the tympanic membrane is known or suspected to be nonintact, topical drops that contain alcohol, have a low pH (most acidifying/antiseptic agents), or both should be avoided because of pain and potential ototoxicity.
4. The only topical antimicrobials approved by the FDA (December 2005) for middle ear use are quinolone drops.
5. Appropriate treatment of uncomplicated AOE should be followed by symptom improvement (otalgia, itching, fullness) within 48 to 72 hours, although symptom resolution may take up to 2 weeks.