Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case
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Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilat-eral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggres-sively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.
Abstract
Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilat-eral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggres-sively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.
참고문헌 (10)
- Rubin Grandis J, "The changing face of malignant (necrotising) external otitis: clinical, radiological, and anatomic correlations", Lancet Infect Dis, 4, pp.34~39 (2004)
- Rubin J, "Malignant external otitis: insights into pathogenesis, clinical manifestations, diagnosis, and therapy", Am J Med, 85, pp.391~398 (1988)
- Giguere P, "Malignant bilateral external otitis in a 10-yearold girl", J Otolaryngol, 5, pp.159~166 (1976)
- Migirov L, "Is laterality of malignant otitis externa related to handedness?", Med Hypotheses, 81, pp.142~143 (2013)
- Corey JP, "Prognostic implications of therapy for necrotizing external otitis", Am J Otol, 6, pp.353~358 (1985)
- Soudry E, "Characteristics and prognosis of malignant external otitis with facial paralysis", Arch Otolaryngol Head Neck Surg, 133, pp.1002~1004 (2007)
- Soudry E, "Malignant external otitis : analysis of severe cases", Otolaryngol Head Neck Surg, 144, pp.758~762 (2011)
- Gold S, "Radiographic findings in progressive necrotizing"malignant"external otitis", Laryngoscope, 94, pp.363~366 (1984)
- Courson AM, "What are the criteria for terminating treatment for necrotizing (malignant) otitis externa?", Laryngoscope, 124, pp.361~362 (2014)
- Garty I, "The radionuclide diagnosis, evaluation and follow-up of malignant external otitis (MEO): the value of immediate blood pool scanning", J Laryngol Otol, 99, pp.109~115 (1985)
