The evolving treatment of necrotizing external otitis
- 1 September 1988
- journal article
- Published by Wiley in The Laryngoscope
- Vol. 98 (9), 934-939
- https://doi.org/10.1288/00005537-198809000-00006
Abstract
Necrotizing external otitis, or malignant external otitis, as initially described by Chandler, is a life-threatening Pseudomonas infection of the external auditory canal and skull base, which occurs most commonly in elderly diabetic patients. Historically, radical surgical intervention was the primary method of treatment. The treatment of choice has shifted during the past 20 years to aggressive systemic antibiotic therapy, with surgery reserved for those patients whose disease is resistant to medical therapy. Using this approach, 19 patients with necrotizing external otitis were treated at the Cleveland Clinic Foundation during the past 8 years. A 90% rate of cure was obtained. The diagnostic approach to patients suspected of having necrotizing external otitis, a classification scheme defining the extent of disease, delivery of systemic antibiotic therapy, indications for surgical intervention, and overall effectiveness of treatment are reviewed.Keywords
This publication has 16 references indexed in Scilit:
- Necrotizing otitis externa occurring concurrently with epidermoid carcinomaThe Laryngoscope, 1986
- Malignant External OtitisSouthern Medical Journal, 1984
- Radiographic findings in progressive necrotizing “malignant” external otitisThe Laryngoscope, 1984
- Malignant external otitis: the role of computed tomography and radionuclides in evaluation.Radiology, 1983
- Complications of the treatment of malignant external otitisThe Laryngoscope, 1983
- Nuclear scanning in necrotizing progressive “malignant” external otitisThe Laryngoscope, 1982
- The surgical management of recalcitrant malignant external otitisThe Laryngoscope, 1980
- Pseudomonas mastoiditisThe Laryngoscope, 1977
- Malignant external otitisThe Laryngoscope, 1968
- Pyocyaneous osteomyelitis of the temporal bone, mandible and zygoma.The Laryngoscope, 1959