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Malignant otitis external-our experience

R B Sardesai1, T Krishnakumar

  • 1ENT, BJ.Medical College & Sassoon hospitals, Pune.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed

Insights

Malignant external otitis, a severe infection of the ear canal, mastoid, and skull base caused by Pseudomonas aeruginosa, requires early diagnosis. This study reviews six cases, emphasizing the need for increased awareness and prompt identification for better outcomes.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Medical Microbiology

Background:

  • Malignant external otitis (MEO) is a severe, invasive infection of the external auditory canal, mastoid, and skull base.
  • Pseudomonas aeruginosa is the primary causative pathogen, leading to significant morbidity and mortality.
  • MEO often affects immunocompromised individuals or those with underlying health conditions.

Purpose of the Study:

  • To report the clinical experience with six cases of malignant external otitis over a ten-year period.
  • To present patient profiles, management strategies, and outcomes.
  • To highlight the importance of early diagnosis and high index of suspicion for MEO.

Main Methods:

  • Retrospective review of six MEO cases managed over ten years.
  • Analysis of patient demographics, clinical presentation, treatment protocols, and outcomes.
  • Review of recent literature focusing on diagnostic imaging and radioisotope scans for MEO.

Main Results:

  • Six cases of malignant external otitis were identified and treated.
  • Patient profiles, management approaches, and treatment results were documented.
  • The study underscores the necessity of heightened clinical awareness for timely MEO diagnosis.

Conclusions:

  • Early diagnosis of malignant external otitis is crucial for effective management and improved patient outcomes.
  • Increased awareness of MEO and its risk factors is essential for healthcare professionals.
  • Advanced imaging techniques and radioisotope scans play a supportive role in the diagnosis and staging of MEO.
Keywords:
Malignant external otitis

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