Otitis media, inflammation of the middle ear (the tympanic bulla, the opening of the auditory tube, and the ear ossicles), is uncommon in veterinary medicine. Clinical signs include recurrent otitis externa, head shaking, pain with opening the mouth, Horner syndrome, dry eye, and facial nerve palsy. Otitis interna is inflammation of the inner ear (the cochlea, vestibule, and semicircular canals) and is rare in veterinary medicine. Clinical signs include ipsilateral head tilt, spontaneous horizontal or rotary nystagmus, and other signs of peripheral vestibular disease. Diagnosis of each is based on clinical suspicion and supporting imaging (CT, MRI). Management should focus on treatment of infections (systemic and topical), decreasing inflammation, and treating any contributing factors.