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[Hyperbaric oxygenation--a sensible adjunctive therapy in malignant external otitis].

M Pilgramm, G Frey, K Schumann

    Laryngologie, Rhinologie, Otologie
    |January 1, 1986
    PubMed
    Summary
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    Hyperbaric oxygen therapy effectively reduces Pseudomonas aeruginosa in malignant external otitis cases. This adjunctive treatment aids pain relief and nerve regeneration, even when used alone.

    Area of Science:

    • Otolaryngology
    • Infectious Diseases
    • Hyperbaric Medicine

    Background:

    • Malignant external otitis (MEO) is a severe infection often caused by Pseudomonas aeruginosa.
    • Treatment challenges include antibiotic resistance and potential cranial nerve involvement.
    • Hyperbaric oxygenation (HBO) is explored as an adjunctive therapy.

    Observation:

    • The study presents three cases of MEO (Ganz stages I-III) treated with HBO.
    • Clinical observations focused on infection control, pain reduction, and neurological recovery.

    Findings:

    • HBO demonstrated a positive effect in reducing Pseudomonas aeruginosa in the external auditory canal.
    • Significant improvements were noted in pain symptoms and regeneration of injured cerebral nerves.
    • Successful outcomes were observed even with the exclusive application of HBO.

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    Implications:

    • Hyperbaric oxygenation shows promise as an effective adjunctive therapy for malignant external otitis.
    • HBO may offer a valuable treatment option for MEO, particularly in cases with antibiotic challenges.
    • Further research, including controlled trials, is warranted to confirm these findings.