Based on exam findings and imaging.
Treat mechanical factor blocking external sound
Remove ear foreign body if present
If congested, assist middle ear fluid buildup removal (e.g. from URI) with a decongestant (e.g. oxymetazoline)
Remove ear foreign body if present
If congested, assist middle ear fluid buildup removal (e.g. from URI) with a decongestant (e.g. oxymetazoline)
Every effort should be made to ensure that conductive<unk>  (eg, ruptured tympanic membrane, or congestion of the middle ear or ear canal) is not present by using a tuning fork. Tinnitus, dizziness, and vertigo are common.
Head CT not routinely necessary, but may be considered for some patients based on individual characteristics.
Routine laboratory tests not needed
ENT providers are encouraged to obtain MRI (outpatient)
Steroids should be given within 2 weeks of symptom onset (10- to 14-day treatment)
Do not give antivirals, thrombolytics, or vasoactive substances
Hearing loss
Sudden Sensorineural Hearing Loss 
Hydrocephalus
Infections: 
Failure to thrive 
Barotrauma
Failure to thrive
Penetrating trauma