목적: This study aimed to evaluate pain management strategies implemented by otolaryngologists for acute infectious otologic conditions, including Acute Otitis Externa, Media and Bullous Myringitis. The primary objective was to assess pain assessment and treatment across these groups. Secondary objectives analyzed repeat visits and their association with incident pain and other demographic and clinical characteristics. 방법:A retrospective case control cohort study of 478 patients presenting to the otolaryngology Emergency Department between 01/2022 and 01/2023. Patients were grouped into three groups: Cases Acute Otitis Externa (n=316), Acute Otitis Media / Bullous Myringitis (n=95), and Controls conservatively treated ureterolithiasis (n=67). Data included demographics, clinical variables, pain assessment and management. 결과:otologic patients had a mean VAS score of 5.0, compared to ureterolithiasis 6.7. Pain management for otologic conditions was significantly less comprehensive with emergency room treatment administered to only 12-13% of otologic conditions, compared to 72.6% of ureterolithiasis patients (p<0.001). Similarly, only 6-14.8% of otologic patients received comprehensive analgesic discharge plans, compared to 71.2% in the ureterolithiasis cohort (p<0.001). No significant differences in repeat emergency room visits were observed among the groups. Demographic factors, including age, sex, ethnicity, and comorbidities, did not significantly correlate with pain levels or outcomes. 결론:This study reveals critical shortcomings in pain management in acute otologic conditions. Given the reported inadequacies in pain management training among Otolaryngology trainees, and continued neglect of pain recommendations proposed by specialty- specific clinical practice guidelines there is an urgent need for analgesic awareness and standardized protocols to ensure consistent and effective care in these everyday conditions.