OTITIS EXTERNA: THE FACTS OF THE MATTER

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Abstract
Otitis externa is a disease about which, for a number of years, there has been nothing particularly new to say. Its fundamental facts, however, continue to be so misunderstood that no apology is necessary for stating them over again. Similarly, fundamental principles of treatment must be restated because many of the therapeutic methods now in use are based on a complete misunderstanding of both the clinical course and the pathological process. Otitis externa is not a lethal disease. Under ordinary circumstances it is not even incapacitating, at least not in the strict sense of the term. On the other hand, it is responsible for an incalculable amount of discomfort, a great deal of lost time, and a considerable expense to the patient. As for the otologist who treats it, he usually disregards the niceties of English diction and describes it, simply and correctly, as "aggravating." How the otologist views otitis

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