Successful Management of Uncomplicated Otitis Externa Using Short-Course Hydrocortisone-Oxytetracycline Ear Packing

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Abstract

Background : To describe the efficacy of clinician-administered hydrocortisone-oxytetracycline ear packing over three sessions in resolving uncomplicated otitis externa (OE). Case Presentation : A 34-year-old male with acute OE presented with severe pain, canal edema, and moderate discharge. Previous self-administered topical therapy had failed. Treatment involved three sessions of hydrocortisone-oxytetracycline-soaked ear packing over six days. Pain reduced by 40% at 48 hours and resolved completely by day 6. Edema and discharge progressively resolved, with full clinical recovery by day 6. No adverse events occurred. Conclusion : Structured ear packing offers a faster, safer alternative to conventional self-administered drops, ensuring rapid recovery and high patient comfort.

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