Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-27T22:07:56.012Z Has data issue: false hasContentIssue false
  • English
  • Français

A case of malignant otitis externa following mastoidectomy

Published online by Cambridge University Press:  29 June 2007

S. K. Patel ,
D. W. McPartlin ,
J. M. Philpott  and
S. Abramovich
S. K. Patel*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
D. W. McPartlin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
J. M. Philpott
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
S. Abramovich
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
*
Address for correspondence: Mr Suresh K. Patel, 38 Mollison Way, Edgware, Middlesex HA8 5QW. Fax: 0171 886 1847
Get access Rights & Permissions [Opens in a new window]

Abstract

We present a case of a 63-year-old diabetic male who developed malignant otitis externa following mastoidectomy. Extensive skull base osteomyelitis caused thrombosis of the jugular bulb and subsequent paralysis of cranial nerves VII, IX, X and XII. Hewas treated aggressively with intravenous antibiotics and debridement of granulation tissue in the mastoid bowl with full recovery of the cranial nerve palsies associated with recanalization of the jugular bulb. We believe this is the first reported case of malignant otitis externa to occur following mastoidectomy with complete recovery of the cranial nerve paresis.

Keywords

Otitis externaJugular veinsCranial nervesParalysis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1095 - 1097
Copyright
Copyright © JLO (1984) Limited 1999

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

Benecke, J.E. Jr. (1989) Management of osteomyelitis of the skull base. Laryngoscope 99: 1220–1223CrossRefGoogle ScholarPubMed
Cohen, D., Friedmann, M. S. (1987) The diagnostic criteria of malignant otitis externa. Journal of Laryngology and Otology 101: 216–221CrossRefGoogle Scholar
Coser, P. L., Stamm, A. E. C., Lobo, R. C., Pinto, J. A. (1980) Malignant otitis externa in infants. Laryngoscope 78: 312–315Google Scholar
Cunningham, M. J., Yu, V. L., Turner, J., Curtin, H. D. (1988) Necrotizing otitis externa due to Aspergillus fumigatus in an immunocompetent patient. Archives of Otolaryngology – Head and Neck Surgery 114: 554–556.Google Scholar
Dawson, D. A. (1978) Malignant otitis externa. Journal of Laryngology and Otology 92 (9): 803–810.CrossRefGoogle ScholarPubMed
Fritz, P., Rieden, K., Lenarz, T., Haels, J., zum-Winkel, K. (1989) Radiological evaluation of temporal bone disease: high resolution computer tomography versus conventional X-ray diagnosis. British Journal of Radiology 62 (734): 107–113.CrossRefGoogle ScholarPubMed
Gold, S., Som, P. M., Lucente, F. B., Lawson, W.. Mendelson, M., Parisier, S. C. (1984) Radiographic findings in progressive necrotizing ‘malignant’ external otitis. Laryngoscope 94 (3): 363–366.CrossRefGoogle ScholarPubMed
Grobman, L. R., Ganz, W., Casiano, R., Goldberg, S. (1989) Atypical osteomyelitis of the skull base. Laryngoscope 99: 671–676Google Scholar
Hem, J. D., Almeyda, J., Thomas, D. M., Main, J., Patel, K. S. (1996) Malignant otitis externa in HIV and AIDS. Journal of Laryngology and Otology 110: 770–775.Google Scholar
Keay, D. G., Murray, J. A. M. (1988) Malignant otitis externa due to staphylococcus infection. Journal of Laryngology and Otology 102: 926–927CrossRefGoogle ScholarPubMed
John, A. C., Hopkins, N. B. (1978) An unusual case of necrotizing otitis externa. Journal of Laryngology and Otology 92: 259–264Google Scholar
Meltzer, P. E., Keleman, G. (1959) Pyocutaneous osteomyelitis of the temporal bone, mandible and zygoma. Laryngoscope 169: 1300–1316.CrossRefGoogle Scholar
Murray, M. E., Britton, J. (1994) Osteomyelitis of the skull base: the role of high resolution CT in diagnosis. Clinical Radiology 49 (6): 408–411Google Scholar
Noyek, A. M., Kirsh, J. C., Greyson, N. D., Wortzman, O., Jazrawy, H., Freeman, J. L., Blair, R. L., Chapnik, J. S. (1984) The clinical significance of radionuclide bone and gallium scanning in osteomyelitis of the head and neck. Laryngoscope 94 (5): 1–21CrossRefGoogle ScholarPubMed
al-Shihabi, B. A. (1992) Carcinoma of the temporal bone presenting as malignant otitis externa. Journal of Laryngology and Otology 106 (10): 908–910.Google Scholar