Hostname: page-component-745bb68f8f-d8cs5 Total loading time: 0 Render date: 2025-01-09T08:14:38.413Z Has data issue: false hasContentIssue false
  • English
  • Français

Carcinoma of temporal bone presenting as malignant otitis externa

Published online by Cambridge University Press:  29 June 2007

B. A. Al-Shihabi
B. A. Al-Shihabi*
Affiliation:
Stoke-on-Trent
*
Mr B. A. Al-Shihabi, M.Sc. (London), F.R.C.S., The Royal National Throat, Nose and Ear Hospital, 330 Grays Inn Road, London WC1X8DA
Get access Rights & Permissions [Opens in a new window]

Abstract

A 69-year-old man presented with a three-month history of otalgia and tenderness of the right ear and a one-week history of a painful right parotid swelling. Examination revealed granulation tissue in the right ear canal with normal looking tympanic membranes and a parotid abscess. Repeated biopsies from the ear canal and parotid showed non-specific inflammation. Repeated cultures from both areas grew Ps. aeruginosa. The patient's condition improved following three weeks of intensive treatment for malignant otitis externa only to relapse five weeks after the end of treatment. He received a second course, only to improve temporarily. He developed a right facial nerve palsy five weeks after he was first seen, followed four months later by palsies of all cranial nerves except the olfactory, before dying, seven months after his first appointment.

The radiological, histological and post-mortem findings are discussed.

Keywords

Otitis externa, malignantEar neoplasms, carcinoma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 10 , October 1992 , pp. 908 - 910
Copyright
Copyright © JLO (1984) Limited 1992

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chandler, J. R. (1968) Malignant otitis externa. Laryngoscope, 78: 1257–1294.CrossRefGoogle Scholar
Chandler, J. R. (1977) Malignant otitis externa further consideration. Annals of Otology, Rhinology and Laryngology, 86: 414–428.CrossRefGoogle Scholar
Chandler, J. R. (1987) Pathogenesis and treatment of facial paralysis due to malignant otitis externa. Annals of Otology, Rhinology and Laryngology, 101: 211–215.Google Scholar
Cohen, D., Friedmann, P., Eilon, A. (1987) Malignant external otitis versus acute external otitis. Journal of Laryngology and Otology, 101: 211–215.CrossRefGoogle ScholarPubMed
Damiani, J. M., Damiani, K. K., Kinney, E. S. (1979) Malignant otitis externa with multiple cranial nerve involvement. American Journal of Otology, 1: 115–120.Google ScholarPubMed
Joachims, H. Z. (1976) Malignant otitis externa in children. Archives of Otolaryngology, 102: 236–237.CrossRefGoogle ScholarPubMed
Mills, R. (1986) Malignant otitis externa (editorial). British Medical Journal, 292: 429–430.CrossRefGoogle Scholar
Nir, D., Nir, T.Danino, J., Joachims, M. D. (1990) Malignant otitis externa in an infant. Journal of Laryngology and Otology, 104: 484–490.CrossRefGoogle ScholarPubMed
Schwart, G. A., Blumenkrantz, Sundmakern H. (1971) Neurologic complications of malignant external otitis. Neurology, 21: 1077–1084.CrossRefGoogle Scholar
Zaky, D. A., Bentley, D. W., Lowy, K., Betts, R. E.Douglas, R. J. Jr. (1976) Malignant otitis externa: A severe form of otitis in diabetic patients. American Journal of Medicine, 61: 296–302.CrossRefGoogle ScholarPubMed