Otorrhea is a common otologic condition that can be caused by a variety of disorders. While in many cases the drainage is secondary to a "simple swimmer's ear" which can be cured in a matter of a few days, in other cases, the cause of the drainage is much more significant and difficult to treat. Making the proper diagnosis, understanding how to gently clean the ear, and utilizing the appropriate treatment regimen are essential in treating this disorder. Persistent drainage that is difficult to control may signify a more significant condition and will require vigilance by the treating practitioner.


1. Bluestone CD. Studies in otitis media: Children's Hospital of Pittsburgh-University of Pittsburgh progress report—2004. Laryngoscope 2004; 114(11 Pt 3 suppl 105):1-26.

2. Kacmarynski DS, Levine SC, Pearson SE, et al. Complications of otitis media before placement of tympanostomy tubes in children. Arch Otolaryngol Head Neck Surg 2004; 130(3):289-292.

3. Roland PS, Stroman DW. Microbiology of acute otitis externa. Laryngoscope 2002; 112(7 Pt 1):1166-1177.

4. Luong A, Roland PS. Acquired external auditory canal stenosis: assessment and management. Curr Opin Otolaryngol Head Neck Surg 2005; 13(5):273-276.

5. van Balen FA, Smit WM, Zuithoff NP, et al. Clinical efficacy of three common treatments in acute otitis externa in primary care: randomised controlled trial. BMJ 2003; 327(7425): 1201-1205.

6. Cantrell HF, Lombardy EE, Duncanson FP, et al. Declining susceptibility to neomycin and polymyxin B of pathogens recovered in otitis externa clinical trials. South Med J 2004; 97(5):465-471.

7. Roland PS, Anon JB, Moe RD, et al. Topical ciprofloxacin/dexamethasone is superior to ciprofloxacin alone in pediatric patients with acute otitis media and otorrhea through tympanostomy tubes. Laryngoscope 2003; 113(12):2116-2122.

8. Marzo SJ, Leonetti JP. Invasive fungal and bacterial infections of the temporal bone. Laryngoscope 2003; 113(9):1503-1507.

9. Kim EJ, Catten MD, Lalwani AK. Detection of fungal DNA in effusion associated with acute and serous otitis media. Laryngoscope 2002; 112(11):2037-2041.

10. Kumar VV, Gaughan J, Isaacson G, et al. Oxymetazoline is equivalent to ciprofloxacin in preventing postoperative otorrhea or tympanostomy tube obstruction. Laryngoscope 2005; 115(2):363-365.

11. Mandel EM, Casselbrant ML, Kurs-Lasky M. Acute otorrhea: bacteriology of a common complication of tympanostomy tubes. Ann Otol Rhinol Laryngol 1994; 103(9):713-718.

12. Antonelli PJ, Schultz G, Cantwell JS, et al. Inflammatory proteases in chronic otitis externa. Laryngoscope 2005; 115(4):651-654.

13. Nadol JB Jr. Histopathology ofPseudomonas osteomyelitis ofthe temporal bone starting as malignant external otitis. Am J Otolaryngol 1980; 1(5):359-371.

14. Mardinger O, Rosen D, Minkow B, et al. Temporomandibular joint involvement in malignant external otitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 96(4):398-403.

15. Lucente FE. Acquired immunodeficiency syndrome (AIDS). In: Lucente FE, Lawson W, Novick N, eds. The External Ear. Philadelphia, PA: WB Saunders, 1995:95.

16. Pelton SI, Klein JO. The promise of immunoprophylaxis for prevention of acute otitis media. Pediatr Infect Dis J 1999; 18(10):926-935.

17. Smirnova MG, Birchall JP, Pearson JP. The immunoregulatory and allergy-associated cytokines in the aetiology of the otitis media with effusion. Mediators Inflamm 2004; 13(2):75-88.

18. Bernstein JM. Role of allergy in eustachian tube blockage and otitis media with effusion: a review. Otolaryngol Head Neck Surg 1996; 114(4):562-568.

19. Doyle WJ. The link between allergic rhinitis and otitis media. Curr Opin Allergy Clin Immunol 2002; 2(1):21-25.

20. Millard TP, Orton DI. Changing patterns of contact allergy in chronic inflammatory ear disease. Contact Dermatitis 2004; 50(2):83-86.

21. Atzori L, Pau M, Aste M. Erythema multiforme ID reaction in atypical dermatophytosis: a case report. J Eur Acad Dermatol Venereol 2003; 17(6):699-701.

22. Derebery J, Berliner KI. Foot and ear disease-the dermatophytid reaction in otology. Laryngoscope 1996; 106(2 Pt 1):181-186.

23. Skov L, Baadsgaard O. Bacterial superantigens and inflammatory skin diseases. Clin Exp Dermatol 2000; 25(1):57-61.

24. Ishiyama A, Canalis RF. Otological manifestations of Churg-Strauss syndrome. Laryngoscope 2001; 111(9):1619-1624.

25. Venzor J, Hua Q, Bressler RB, et al. Behçet's-like syndrome associated with idiopathic CD4+ T-lymphocytopenia, opportunistic infections, and a large population of TCR [a][ß]+ CD4- CD8- T cells. Am J Med Sci 1997; 313(4):236-238.

26. Greenfield BJ, Selesknick SH, Fisher L, et al. Aural tuberculosis. Am J Otol 1995; 16(2):175-182.

27. Linstrom CJ, Lucente FE, Joseph EM. Infections of the external ear. In: Bailey BJ, Calhoun KH, eds. Head and Neck Surgery-Otolaryngology. Vol. 2. Philadelphia, PA: Lippincott-Raven, 1998:19651980.

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