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Malignant external otitis: management policy

Published online by Cambridge University Press:  29 June 2007

Osama El-Silimy  and
M. Sharnuby
Osama El-Silimy*
Affiliation:
Department of Otolaryngology, Riyadh National Hospital, P.O. Box 2715, Riyadh 11641, Saudi Arabia.
M. Sharnuby
Affiliation:
Department of Otolaryngology, Riyadh National Hospital, P.O. Box 2715, Riyadh 11641, Saudi Arabia.
*
Mr O. El-Silimy, F.R.C.S., 19 Grange Avenue, Stanmore, Middlesex HA7 2JA, U.K.
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Abstract

Malignant external otitis is a progressive pseudomonal infection of the external auditory canal and adjacent structures. In the literature there is no unified policy regarding the management of malignant external otitis. The development of an effective nuclear scanning method and antibiotics active against Pseudomonas aeruginosa have helped in formulating our management policy. A review of four years personal experience with this condition is presented. All of our cases were cured from the disease with no fatality. Gallium67 citrate scans showed that antipseudomonal treatment should continue for up to three months.

Keywords

Otitis externa, malignant
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 5 - 6
Copyright
Copyright © JLO (1984) Limited 1992

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References

Chandler, J. R. (1968) Malignant external otitis. Laryngoscope, 78: 1257–1294.CrossRefGoogle ScholarPubMed
Gates, G. A., Montalbo, P. J., Meyerhoff, W. L. (1977) Pseudomonas mastoiditis. Laryngoscope, 87: 483–492.Google Scholar
Gold, S., Som, P., Lawson, W., Lucente, F. (1984) Radiographic finding in progressive necrotizing ‘malignant’ external otitis. Larynoscope, 93: 279–281.Google Scholar
Joachims, H. Z. (1976) Malignant external otitis in children. Archives of Otolaryngology, 102: 236–236.Google Scholar
John, A. C., Hopkins, H. B. (1978) An unusual case of necrotizing otitis externa. Journal of Laryngology and Otology, 92: 811–812.CrossRefGoogle ScholarPubMed
Leggett, J. M., Prendergast, K. (1988) Malignant external otitis: the use of oral Ciprofloxacin. Journal of Laryngology and Otology, 102: 53–54.Google Scholar
Lucente, F., Parisier, S., Som, P. (1983) Complications of treatment of malignant external otitis. Laryngoscope, 93: 279–281.Google Scholar
Meltzer, P. E., Kelemen, G. (1959) Pycocyaneous osteomyelitis of the temporal bone, mandible and zygoma. Laryngoscope, 69: 1300–1316.CrossRefGoogle Scholar
Mendelson, D. S., Som, P. (1983) Malignant external otitis: the role of computed tomography and radionuclides in evaluation. Radiology, 149: 745–749.CrossRefGoogle ScholarPubMed
Parisier, S., Lucente, F. (1982) Nuclear scanning in necrotizing progressive ‘malignant’ external otitis. Laryngoscope, 92: 1016–1020.Google Scholar
Rubinstein, E., Ostfeld, E. (1980) Necrotizing external otitis. Pediatrics, 66: 618–620.Google Scholar
Scully, B. E., Neu, H. C., Parry, M. F. (1986) Oral Ciprofloxacin therapy of infection due to Pseudomonas aeruginosa. Lancet, i: 819–822.CrossRefGoogle Scholar
Shamboul, L., Burns, H. (1983) Malignant external otitis in a young diabetic patient. Journal of Laryngology and Otology. 97: 247–249.CrossRefGoogle Scholar
Strauss, M., Aer, R. (1982) Malignant external otitis: Long term (months) antimicrobial therapy. Laryngoscope, 92: 397–405.Google Scholar
Toulmouche, M. A. (1838) Observations d'otorrhee cerebrale: Suivis des reflexions. Gazette Medical de Paris, 6: 422–426.Google Scholar
Uri, N., Kitzes, R., Meyer, W. (1984) Necrotizing external otitis: the importance of prolonged drug therapy. Journal of Laryngology, and Otology, 98: 1083–1085.Google Scholar
Wilson, D., Pulec, J. (1971) Malignant external otitis. Archives of Otolaryngology, 93: 419–423.Google Scholar