<unk><unk>  that has not resolved despite 2-3wks of topical antibiotics
Otalgia often out of proportion for routine<unk><unk> 
Edema of<unk> l auditory canal
Granulation tissue often seen in the ear canal floor
Facial nerve often first CN involved
CN IX, X, or XI involvement
Trismus
More rapidly progressive than in adults
Fever, leukocytosis, bacteremia/sepsis
TM, middle ear, and facial nerve more likely to be affected
Fever, leukocytosis, bacteremia/sepsis
Malignant otitis externa
Auricular hematoma
Acute otitis media
Auricular perichondritis
Traumatic iritis
Cholesteatoma
Mastoiditis
Contact dermatitis