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Surgical consideration and practical difficulty in malignant otitis externa: a systematic review.
Mariam Aljehani1, Rayan Alhussaini2, Abdulrhman Alsanosi3
1ENT Resident, MOH, Madinah, 42376, Saudi Arabia. marim_2012@hotmail.com.
Summary
Surgery is vital for Malignant Otitis Externa (MOE) when conservative treatments fail. Prompt surgical intervention improves outcomes for critically ill MOE patients with complications or disease progression.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Surgical Oncology
Background:
- Malignant Otitis Externa (MOE) is a severe necrotizing infection of the external auditory canal.
- Effective management strategies for MOE are critical due to its rapid progression and potential for severe complications.
- The role of surgical intervention in MOE requires further elucidation.
Approach:
- A systematic review was conducted using PubMed, Science Direct, Google Scholar, and Cochrane Library databases (2003-2023).
- Included studies focused on surgical aspects, treatment duration, patient responses, and outcomes in Malignant Otitis Externa cases.
- Selection criteria prioritized studies detailing surgical interventions and patient-related outcomes.
Key Points:
- Twenty-two articles (2006-2023) involving 901 patients were analyzed, predominantly male.
- Surgery was indicated for failed conservative therapy, skull base osteomyelitis, and disease progression.
- Common surgical procedures included debridement and mastoidectomy, with variable survival and mortality rates reported.
Conclusions:
- Malignant Otitis Externa necessitates prompt identification and effective management.
- Surgical intervention is the preferred treatment for advanced MOE, particularly when conservative measures are insufficient or complications arise.
