Otitis Externa Case Summary

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The American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) published the first clinical practice guideline in 2006 on acute otitis externa (AOE) with seven major statements. The guideline was designed to assist providers by providing an evidence-based framework for decision-making strategies. The AAO-HNSF made a strong recommendation that management of AOE should include an assessment of pain, and the provider should prescribe analgesic treatment based on the severity of pain. The provide should: 1) distinguish diffuse AOE from other causes of otalgia, otorrhea, and inflammation of the ear canal; 2) assess the patient with diffuse AOE for factors that modify management (nonintact tympanic membrane, tympanostomy tube,

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