One of the most frequent illnesses a paediatrician sees is inflammatory disease of the middle and external ear. Inflammations of the inner ear, which are less frequent, require immediate and specific care. Each case needs special management, which includes a thorough history, physical exam, any required investigations, and when necessary, a proper referral to an otolaryngologist. The goal of the article is to assist in developing a strategy for treating inflammatory ear disorders. While vertigo, tinnitus, and sensory hearing loss make up the symptom complex for inner ear infections, otalgia is the most noticeable symptom of external and middle ear inflammations. To implement a targeted treatment, it is vital to comprehend the fundamental pathophysiology of the inflammatory illness. The cornerstone of the investigative workup consists of audiometry impedance testing, microbiology of discharge, and occasionally an ABR and CT scan. Based on the precise diagnosis, the treatment is tailored. An otolaryngologist is frequently needed to assist with it. The need for any surgical intervention may need to be decided, especially in cases of acute otitis media, an external canal abscess, or acute mastoiditis. A case of labyrinthitis or chronic otitis media with facial palsy or vertigo requires immediate attention.