If severe, consult ENT for debridement
Consider using an astringent to aid in debridement (e.g. Buro-sol®, Auro-dri®, vinegar diluted 1:1 with propylene glycol or isopropyl alcohol)
Depends on the clinical condition or response
Cortisporin® eye/ear drops. 10,000 U Polymyxin B, 3.5mg Neomycin base, 10 mg Hydrocortisone divided tid-qid
OR
Cipro HC® ear drops. 2mg Ciprofloxacin HCl divided bid.