Otitis externa necroticans

Abstract

Malignant external otitis or skull base osteomyelitis and osteoradionecrosis of the skull base and the skull are potentially life-threatening conditions. The standard methods of treatment involve the use of antibiotics, local treatment and, where necessary, surgical excision of necrotic tissue. These approaches do not provide a complete cure in many cases. Severe functional deficits and even death can occur in advanced stages. We conducted a long-term retrospective follow-up study and report on a multimodal approach that we have been using with great success since 1987. The four cornerstones of this treatment are surgical debridement, combinations of antibiotics, specific immunoglobulins, and adjunctive hyperbaric oxygen therapy. This multimodal treatment approach has proved to be highly effective in improving the survival and quality of life of the patients concerned. These excellent outcomes justify the high costs that this therapy admittedly involves.

Usos de cámara hiperbárica en otorrinolaringología

“…Tish utilizo un sistema para estratificar la severidad del cuadro en cuatro categorías por severidad. Bajo este sistema comparó la tasa de curación que mostró un 95% de curación en pacientes no estratificados, con una tasa de éxito de 59% para los estadios más avanzados 18 .…”

Frequency of Malignant External Otitis in Patients Admitted to the Otolaryngology Ward of Imam Khomeini Hospital, Ahwaz, Iran, 2002-2010

“…Ct scan and especially the gallium and technetium scans are very sensitive and costeffective for diagnosis and follow-up in patients. Development of new antibiotics and new therapeutic methods has resulted in evolution of treatment in these patients 8,9 . The objective of this study was determination of frequency of malignant and non-malignant external otitis and related mortality to establish the role of prompt diagnosis and treatment in such patients.…”