Sore Ear

Otitis externa
Otitis media

  • Describe the anatomy and physiology of the ear and related structures
  • Describe the pathophysiology and risk factors of common diseases affecting the ear and related structures
  • Name and classify the pathogens that cause ear infections in children
  • Describe the basic principles of pharmacology for antibiotic use and analgesia in ear infections

Overview & Foundational Knowledge

Gould & Matz. Otitis Media. Pediatrics in Review 2010; 31: 102.

General review on otitis media good for visuals.  Caveat: follows American management guidelines; refer to CPS position statement (see clinical resources below) for Canadian management.

Stone K. Otits Externa. Pediatrics in Review 2007; 28: 77.

Brief review on Otitis externa

Clinical Resources

Management of Acute Otitis Media

http://www.cps.ca/documents/position/acute-otitis-media

http://www.cps.ca/fr/documents/position/otite-moyenne-aigue

Canadian Paedatric Society Position Statement (2009). Good review, tables and figures. * Recommended as a MUST READ resource*

Otitis Media with Effusion.  American Academy of Family Physicians, American Academy of Otolaryngology-Head and Neck Surgery, and American Academy of Pediatrics Subcommittee on Otitis Media With Effusion.  Pediatrics 2004; 113: 1412.

Clinical practice guidelines on the management of otitis media with effusion.

Virtual Patients or Cases

Shaikh N, Hoberman A, Kaleida PH, Ploof DL & Paradise JL. Videos in Clinical Medicine: Diagnosing Otitis Media — Otoscopy and Cerumen Removal. New England Journal of Medicine 2010; 362:e62, May 20, 2010.

Video on the clinical skill of otoscopy

Clinical Presentations