TY - JOUR
T1 - Malignant external otitis
T2 - A dangerous misnomer?
AU - Lucente, Frank E.
AU - Parisier, Simon C.
AU - Som, Peter M.
AU - Arnold, Leon M.
PY - 1982/3
Y1 - 1982/3
N2 - Review of our experience in treating 16 patients with malignant external otitis, along with survey of the compromised defense mechanisms of diabetic patients, confirms the need for immediate, intense, and vigilant therapy. Radioisotope scans, high-resolution computed tomography scans, and multidirectional tomograms are used to delineate the extent of the disease. Therapy includes intravenous aminoglycosides and penicillin derivatives, limited surgery, and hyperbaric oxygenation. In view of the tendency for this infection to extend beyond the external auditory canal and to produce an invasive lethal osteomyelitis, we feel that the tendency to classify this disease as a variant of diffuse external otitis may foster undertreatment.
AB - Review of our experience in treating 16 patients with malignant external otitis, along with survey of the compromised defense mechanisms of diabetic patients, confirms the need for immediate, intense, and vigilant therapy. Radioisotope scans, high-resolution computed tomography scans, and multidirectional tomograms are used to delineate the extent of the disease. Therapy includes intravenous aminoglycosides and penicillin derivatives, limited surgery, and hyperbaric oxygenation. In view of the tendency for this infection to extend beyond the external auditory canal and to produce an invasive lethal osteomyelitis, we feel that the tendency to classify this disease as a variant of diffuse external otitis may foster undertreatment.
UR - http://www.scopus.com/inward/record.url?scp=0019953093&partnerID=8YFLogxK
U2 - 10.1177/019459988209000223
DO - 10.1177/019459988209000223
M3 - Article
C2 - 6810275
AN - SCOPUS:0019953093
SN - 0194-5998
VL - 90
SP - 266
EP - 269
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 2
ER -