<unk> s the most common cause that affects children. Mortality rates are generally low, but acute otitis media and otitis media with effusion have high morbidity. the child can come with fever, restless sleep, ear rubbing, irritability, excessive crying, decreased activity, poor appetite, rhinitis, nasal congestion, cough, hoarse voice, conjunctivitis, mucus vomiting.There are several causes divided into primary otalgia and secondary otologia .The primary otalogia including otitis externa (swimmer's ear), mechanical obstruction ,Otitis media ,otitis media with effusion, truma .The secondary otalgia including referred ear<unk> .
Ear pain  
Ear clearing
Neck pain
Otorrhea
Nasal Congestion
Onychoptosis
Trench mouth
Eye pain