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Published on: May 23, 2021
[Malignant external otitis: 4 cases report]
1Department of Otorhinolaryngology, Head and Neck Surgery, Tongren Hospital, Beijing 100730.
Objective:
To improve the level of diagnosis and treatment of malignant external otitis (MEO).
Method:
Four cases with MEO were reported.
Result:
Three in four cases were followed up. One patient was cured, and the others died of intracranial infection.
Conclusion:
Early diagnosis of MEO is very important for treatment. The patients of MEO with diabetes often died of intracranial infection.
Insights
Early diagnosis of malignant external otitis (MEO) is crucial for effective treatment. Prompt identification can improve outcomes, while delayed diagnosis in diabetic patients may lead to fatal intracranial infections.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Diabetology
Context:
- Malignant external otitis (MEO) is a severe infection of the external ear canal.
- MEO predominantly affects elderly patients with diabetes mellitus.
- Intracranial extension of MEO carries a high mortality rate.
Purpose:
- To enhance the diagnostic and therapeutic strategies for malignant external otitis (MEO).
- To highlight the critical role of early detection in managing MEO.
- To underscore the association between MEO, diabetes, and poor prognosis due to intracranial complications.
Summary:
- This report details four cases of malignant external otitis (MEO).
- Follow-up on three patients revealed one recovery and two deaths from intracranial infection.
- The findings emphasize the importance of timely MEO diagnosis and the severe risks associated with intracranial spread, particularly in diabetic individuals.
Impact:
- Improved clinical awareness and diagnostic accuracy for MEO.
- Potential for earlier intervention, reducing MEO-related morbidity and mortality.
- Enhanced understanding of MEO's link to diabetes and its severe complications, guiding treatment protocols.
