Clinical Case Database / Category: Case Based Discussion

Acute otitis externa

Publication details

BW Brookes, Neel Umapathy
Foundation Years Journal, volume 7, issue 1, p.16 (123Doc Education, London, January 2013)


This case based discussion centres around a 95-year old female presenting to A&E with acute otitis externa (AOE) who develops perichondritis as a consequence of the initial infection. The case looks at the clinical assessment and treatment of the condition and discusses the ongoing management and follow up.

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BW Brookes

Foundation Year 1 doctor
Royal Bolton Hospital NHS Foundation Trust

Neel Umapathy

Consultant ENT Surgeon
Royal Bolton Hospital NHS Foundation Trust


1. Kaushik V, Malik T, Saeed SR. (2010) Interventions for acute otitis externa. Cochrane Database of Systematic Reviews. 1: 1-114.
2. Rosenfeld RM, Brown L, Cannon CR et al. (2006) Clinical practice guideline: Acute otitis externa. Otolaryngology–Head and Neck Surgery 134: 4-23.
3. Van Balen F, Smit W, Zuithoff N and Verheij T (2003) Clinical Efficacy Of Three Common Treatments In Acute Otitis Externa In Primary Care: Randomised
Controlled Trial. British Medical Journal. 327: 1201-1203.
4. National Health Service Clinical Knowledge summaries: Otitis externa


Conflict Of Interest

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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