This immediate procedure is required to prevent cartilage necrosis in auricular hematoma
Incision and drainage (I&D)
This over-the-counter substance can soften earwax before irrigation
hydrogen peroxide/carbamide peroxide

When can ototoxic agents be used for otitis externa?
Only indicated for visualized, intact TMs
This group of patients with otitis externa should be urgently evaluated for malignant otitis externa.
diabetics or immunocompromised individuals
Failure to treat auricular hematoma can result in this permanent deformity
cauliflower ear
You should avoid ear irrigation if this part of the ear is suspected to be perforated
tympanic membrane
Examples Ototoxic Agents (at least 1)
1. Antiseptics (Acetic acid or Acetic acid with hydrocortisone)
2. Aminoglycosides: neomycin/polymyxin B/hydrocortisone
Inflammatory disease with an autoimmune component characterized by chondritis
Relapsing polychondritis
Examples Non-ototoxic Agents (at least 1)
Ciprofloxacin with hydrocortisone
Ciprofloxacin with dexamethasone
Ofloxacin