• Keshav Vijay Kale
• Gimi M Geo
• Musafar Ahammed
• Mayuri J S
• Jinu Jojan

Otitis externa is a common inflammatory condition of the external auditory canal, often presenting with pain, discharge, itching, and swelling. While most cases respond well to topical and systemic antibiotics, treatment-resistant forms remain a significant therapeutic challenge. This case report describes a 14-year-old male with chronic otitis externa persisting for two months, unresponsive to multiple courses of oral, intravenous, and topical antibiotics. The patient was treated with Ayurvedic internal medications, including Punarnavadi Kashayam and STEP capsule, for a period of seven days. Marked improvement was observed within three days, and complete resolution of pain, itching, and discharge was achieved by day seven. This case highlights the efficacy and safety of Ayurvedic management in refractory otitis externa, offering a promising integrative approach for cases unresponsive to conventional therapy.

Otitis externa, Karna Srava, Punarnavadi Kashayam, STEP capsule, Ayurveda, refractory ear infection

"Ayurvedic Management of Chronic Refractory Otitis Externa – A Case Report", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 10, page no.d655-d664, October-2025, Available :http://www.jetir.org/papers/JETIR2510385.pdf

"Ayurvedic Management of Chronic Refractory Otitis Externa – A Case Report", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 10, page no. ppd655-d664, October-2025, Available at : http://www.jetir.org/papers/JETIR2510385.pdf