Otitis externa is an inflammatory condition with or without concurrent infection and is the most common dermatological disease in a busy veterinary practice. Therefore, it is the most common claim forwarded to veterinary insurance companies. For the most part, the majority of cases are simple, and treatment clears the disease in a few days. However, many cases are recurrent and the management of those cases is frustrating and often veterinarians seek the aid of a specialist. This paper will focus onthe more complicated cases and will clarify and discuss the pathogenesis, treatment and preventive measures. I will not discuss the uncommon causes of otitis such as parasites, foreign bodies and neoplasia within the context of this article. The emphasis of this article will be on the dog with severe, complicated or recurrent bacterial otitis with a focus on the pathology and treatment.
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