Faculty Opinions recommendation of Malignant otitis externa, an increasing burden in the twenty-first century: review of cases in a UK teaching hospital, with a proposed algorithm for diagnosis and management.

2019 ◽  
Author(s):  
Chris Raine ◽  
Huay Shan Yuen
Keyword(s):  
Teaching Hospital ◽  
Otitis Externa ◽  
First Century ◽  
Diagnosis And Management ◽  
Malignant Otitis Externa ◽  
Twenty First Century

Malignant otitis externa, an increasing burden in the twenty-first century: review of cases in a UK teaching hospital, with a proposed algorithm for diagnosis and management

2019 ◽  
Vol 133 (05) ◽  
pp. 356-362
Author(s):  
K H Hutson ◽  
G J Watson
Keyword(s):  
Teaching Hospital ◽  
Otitis Externa ◽  
Best Practice ◽  
Case Series ◽  
Prognostic Indicators ◽  
Haemoglobin A1c ◽  
Ageing Population ◽  
Elderly Male ◽  
Treatment Pathways ◽  
Malignant Otitis Externa

AbstractBackgroundMalignant otitis externa is a potentially fatal infection of the skull base. With an ageing population and increasing prevalence of diabetes, the incidence of malignant otitis externa in the British population is rising. To date, there remain no accepted diagnostic criteria, few prognostic indicators and no consensus treatment pathways.MethodA prospective case series was conducted at a tertiary referral teaching hospital.ResultsA cohort of susceptible individuals predominates (elderly, male, with immunosuppression and diabetes), with 25 per cent reporting a preceding incident. Otorrhoea, otalgia and canal granulation were the commonest presenting features, alongside positive pseudomonas cultures. No clear markers for predicating disease severity were isolated; however, a high initial haemoglobin A1c level demonstrated a significant moderately positive correlation with length of treatment.ConclusionA treatment pathway designed to provide a standardised approach to investigation and treatment is proposed, which aims to increase earlier diagnosis, streamline care and facilitate the development of best practice.

Diagnostic Imaging in Malignant Otitis Externa

1982 ◽  
Vol 90 (5) ◽  
pp. 606-609 ◽  
Author(s):  
David Reiter ◽  
Larissa T. Bilaniuk ◽  
Robert A. Zimmerman
Keyword(s):  
Diagnostic Imaging ◽  
Otitis Externa ◽  
Axial Tomography ◽  
Diagnosis And Management ◽  
Malignant Otitis Externa ◽  
Computed Axial Tomography ◽  
Radionuclide Scanning

Comprehensive diagnostic imaging, including plain roentgenograms, pluridirectional tomography, computed axial tomography, and radionuclide scanning with technetium and gallium, is helpful in the diagnosis and management of malignant otitis externa. Acute and convalescent studies are presented in a successfully managed case, and guidelines are offered for employment of these studies in the management of seemingly recalcitrant otitis externa.

scholarly journals Developing an Algorithm for Early Diagnosis and Management of Malignant Otitis Externa

2017 ◽  
Vol 78 (S 01) ◽  
pp. S1-S156
Author(s):  
Katharine Hamlett ◽  
Jonathan Abbas ◽  
Clare Williams ◽  
Babatunde Oremule ◽  
A. Guleri ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Otitis Externa ◽  
Diagnosis And Management ◽  
Malignant Otitis Externa

Malignant Otitis Externa Resistant to Ciprofloxacin: Implications for Treatment

Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
T. Mandrali ◽  
D. Assimakopoulos ◽  
M. Karakitsou ◽  
K. Proikas ◽  
M. Tzagaroulakis
Keyword(s):  
Otitis Externa ◽  
Malignant Otitis Externa
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