Journals / Okmeydanı Tıp Dergisi / 2016 / Cilt: 32 - Sayı: 4

Malignant Otitis Externa with Facial Paralysis: A Case Report

Fasiyal Paralizi Görülen Bir Malign Otitis Eksterna Olgusu

Pages
219–221
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Diagnosis was discussed by the literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Malignant Otitis Externa, which can be emerging in the outer ear canal and spreading through the soft tissues around temporal bone, mastoid cells and ear, though rarely seen, is a destructive and severely enduring condition.
📊
Key Findings & Data:Success rates are high in early diagnosis and medical treatment.
💡
Conclusion & Impact:Diagnosis was discussed by the literature.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Malignant Otitis Externa, which can be emerging in the outer ear canal and spreading through the soft tissues around temporal bone, mastoid cells and ear, though rarely seen, is a destructive and severely enduring condition. Immunosuppression and Diabetes Mellitus are the important predisposing factors. The infection In whichh the most frequent causative agent is Pseudomonas types, should be distinguished from acute otitis externa. Success rates are high in early diagnosis and medical treatment. A 55-yearold diabetic male patient, who applied to our unit with the complaints of left ear ache, discharge and left side of facial paralysis, has been diagnosed with malignant otitis externa, by physical examination, technetium-99m bone scintigraphy and computed tomography of the brain in axial plane, and recovered by medical treatment. Diagnosis was discussed by the literature.

Özet

Dış kulak kanalından başlayarak temporal kemik, mastoid hücreler ve kulak çevresindeki yumuşak dokulara yayılabilen malign otitis eksterna ender görülmesine rağmen, şiddetli seyreden destrüktif bir hastalıktır. İmmünsupresyon ve diyabetes mellitus önemli predispozan faktörlerdir. En sık etkenin Pseudomonas türleri olduğu enfeksiyon, akut otitis eksternadan ayırt edilmelidir. Erken tanı ve tıbbi tedavi ile başarı oranları yüksektir. Çalışmamızda, sol kulak ağrısı, akıntısı ve sol yüz felci yakınmaları nedeniyle ünitemize başvuran 55 yaşında diyabetik erkek hasta sunuldu. Yapılan fizik muayene, teknesyum 99m kemik sintigrafisi ve temporal kemik bilgisayarlı tomografisi ile malign otitis eksterna tanısı kondu. Medikal tedavi ile iyileşme sağlandı. Bulgular literatür eşliğinde tartışıldı

🔖

Cite This Article

TUTAR, B., BERKİTEN, G., MUTLU, A. T., GÖKER, A. E., UYAR, Y. (2016). Malignant Otitis Externa with Facial Paralysis: A Case Report. Okmeydanı Tıp Dergisi, Cilt: 32 - Sayı: 4, 219–221. https://ajindex.com/articles/291687

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Timon CI, O'Dwyer T. Diagnosis, complications and treatment of malignant otitis externa. Irish Medical Jo- urnal 1989;82:30-1.
  2. Walshe P, Cleary M, Walsh MR, Walsh M. Malignant otitis externa- A high index of suspicion is still needed for diagnosis. Irish Medical Journal 2002;95:14-6.
  3. Hickham M, Amedee RG. Malignant otitis eksterna. J La State Med Soc 1996;148:511-3. Thomas J. Balkany/Bradford D. Ress. Infections of external ear. In: Charles W. Cummings, John M. Fred- rickson, Lee A. Harker, Charles J. Krause, Mark A. Richardson, David E. Schuller, editors. Otolaryngology head and neck surgery. 3th ed. 1998. p.2982. Carfrae MJ, Kesser BW. Malignant otitis eksterna. Oto- laryngol Clin N Am 2008,41:537-49. http://dx.doi.org/10.1016/j.otc.2008.01.004
  4. Hollis S, Evans K. Management of malignant (necro- tizing) otitis externa. The Journal of Laryngology Oto- logy 2011;125:1212-7. http://dx.doi.org/10.1017/S0022215110002550
  5. Shupak A, Greenberg E, Hardoff R, et al. Hyperbaric oxygenation for necrotizing (malignant) otitis externa. Arch Otolaryngol Head Neck Surg 1989;115:1470-5. http://dx.doi.org/10.1001/archotol.1989.01860360072021
  6. Cohen D, Friedman P. The diagnostic criteria of malignant external otitis. J Laryngol Otol 1987;101(3):216-21. http://dx.doi.org/10.1017/S0022215100101562
  7. Hickey SA, Ford GR, O'Connor AF, et al. Trea- ting malignant otitis with oral ciprofloxacin. BMJ 1989;26(299):550-1.
  8. Soundry E, Joshua BZ, Sulkes J, Nageris B. Characte- ristics and prognosis of malignant external otitis with facial paralysis. Arch Otolaryngol Head Neck Surg 2007;133(10):1002-4. http://dx.doi.org/10.1001/archotol.133.10.1002
  9. Babiatzki A, Sade J. Malignant external otitis. J Lary- ngol Otol 1987;101(3):205-10. http://dx.doi.org/10.1017/S0022215100101549
  10. Joaehims HZ, Danino J, Raz R. Malignant external oti- tis: treatment with fluoroquinolones. Am J Otolaryngol 1988;9(3):102-5. http://dx.doi.org/10.1016/S0196-0709(88)80014-0
  11. Meyers BR, Mendelson MH, Parisier SC, Hirschman SZ. Malignant external otitis. Comparison of monothe- rapy vs combination therapy. Arch Otolaryngol Head Neck Surg 1987;113(9):974-8. http://dx.doi.org/10.1001/archotol.1987.01860090072022