Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

Alva, Bhasker; Prasad, Kishore Chandra; Prasad, Sampath Chandra; Pallavi, Singla

doi:10.1017/s0022215109005313

Cited by 20 publications

(16 citation statements)

References 9 publications

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“…Patients with MOE typically present with severe otalgia and may complain of aural fullness, otorrhea and hearing loss 1–3 5. The otalgia may be worse at night and the hearing loss is initially conductive in nature.…”

Section: Discussionmentioning

confidence: 99%

A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae

Leahy¹,

Sader

2011

Case Reports

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Section: Discussionmentioning

confidence: 99%

A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae

Leahy¹,

Sader

2011

Case Reports

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“…On one side there is a group of authors who prefer conservative prolonged antibiotic therapy, while on the other side there is another group of authors who prefer surgical intervention, espe- Each examination of an inflamed TMJ must be accompanied by an examination of the outer acoustic meatus or a complete otologic examination ( Alva, 2009, Drew, 1993, Midwinter, 1999, Mardinger, 2003, Dobbyn, 2005, Thompson, 2010.…”

Section: Case Reportmentioning

confidence: 99%

Pseudomonas Infection of the Temporomandibular Joint (TMJ) Health and Public Health Issues

Malachovsky

Janickova

Staško

et al. 2017

Acta Medica Martiniana

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A b s t r a c tThe authors describe a case of a rare infectious disease of intra-articular tissues of the temporomandibular joint caused mainly by Pseudomonas aeruginosa. In scientific literature, under the heading invasive (malignant) external otitis, we can find cases of an infectious disease of the external acoustic meatus caused by a microbial agent of Pseudomonas aeruginosa which can subsequently penetrate into structures. However, a primary affliction of the abovementioned structures has not been described. Localisation and severity of the infection requires long-term and massive treatment with antibiotics.

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“…Driscoll et al (Driscoll et al, 1993) found that cerumen from the ears of patients with diabetics had a higher average pH compared with that from the ears of nondiabetics, and they postulated that such alkaline pH could provide a beneficial environment for bacterial overgrowth. Diabetic patients' increased predisposition to temporal bone osteomyelitis is also because of their increased susceptibility to microangiopathic changes and an altered immune response (Alva et al, 2009).…”

Section: Typical Type (Sbo Secondary To Moe)mentioning

confidence: 99%

“…The role of histology is mainly to differentiate this entity from malignant tumor. CT defines the location and extent of the disease at initial evaluation (Alva et al, 2009). MRI has the advantage of better soft tissue discrimination than CT, and is particularly useful for assessing soft tissue planes around the skull base and abnormalities of the medullary cavity of bone.…”

Section: Typical Type (Sbo Secondary To Moe)mentioning

confidence: 99%

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Skull Osteomyelitis

Soo¹

2012

Osteomyelitis

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Bone lesions resembling tertiary syphilis caused by Treponema pallidum or another of the treponematoses have been observed in nearly every Andean culture from Peru and Chile, dating back nearly 8000 years (Gerstzen et al., 1998). The lesions are similar in each case, with periostitis, osteitis, and osteomyelitis attacking the skull and the long bone, particularly the tibia. This tibial involvement results in the classic "saber shin". Several of the skulls observed with such lesions had been "treated" during life by repeated trephination using a scraping technique. 2.1.2 Greek and early Byzantine period The intellectual evolution of neurological surgery originated in the golden age of Greece with the founding of the Alexandrian school in 300 BC. Because of both sporting injuries, in particular gladiator injuries, and wars, head injuries appear to have been plentiful, and provided opportunities to develop neurosurgical skills (Goodrich & Flamm, 2011). In this early era of medicine, the risk of infection, lack of antiseptic technique, and minimal anesthesia prevented generations of surgeons from performing any serious or aggressive surgical intervention for head injury (Goodrich & Flamm, 2011). Galen of Pergamon (AD 129-200) detailed a safer and more reliable use of the trephine, and in particular argued for continuous irrigation during trephination to avoid delivering excessive heat and injury to the underlying brain (Goodrich, 2005). Paul of Aegina (AD 625-690), trained in the Alexandrian school, was the last great Byzantine physician. His wound management was quite sophisticated for prevention of infection. He used wine (helpful in antisepsis, although this concept was then unknown) (Goodrich, 2005). 2.1.3 Medieval Europe Inventive medieval surgeon Theodoric Borgognoni of Cervia (1205-1298) is remembered as a pioneer in the use of the aseptic technique-not the "clean" aseptic technique of today, but rather a method based on avoidance of "laudable pus". He attempted to discover the ideal conditions for good wound healing, and concluded that they comprised control of bleeding, removal of contaminated or necrotic material, avoidance of dead space, and careful application of a wound dressing bathed in wine (Goodrich & Flamm, 2011). Control of bleeding, removal of contaminated or necrotic material, and avoidance of dead space are principles that can also apply in today's neurosurgical operations. He also argued for primary closure of all wounds when possible and avoiding "laudable pus" (Goodrich & Flamm, 2011). Lanfranchi of Milan (1250-1306) noted that the head should be shaved prior to surgery to prevent hair from getting into the wound and interfering with primary healing. Today, most neurosurgeons also shave hair before an operation. However, the time of shaving is currently controversial. When dealing with depressed skull fractures, Lanfranchi advocated putting wine into the depression to assist healing (Goodrich & Flamm, 2011). Guy de Chauliac (1300-1368) was clearly the most influential European surgeon of the ...

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Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

Cited by 20 publications

References 9 publications

A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae

A rare case of bilateral malignant otitis externa and osteomyelitis with lower cranial nerve sequelae

Pseudomonas Infection of the Temporomandibular Joint (TMJ) Health and Public Health Issues

Skull Osteomyelitis

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