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Benign necrotizing osteitis of the external auditory meatus

Published online by Cambridge University Press:  29 June 2007

B. N. Kumar ,
R. M. Walsh ,
A. Sinha ,
R. G. Courteney-Harris  and
W. V. Carlin
B. N. Kumar*
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
R. M. Walsh
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
A. Sinha
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
R. G. Courteney-Harris
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
W. V. Carlin
Affiliation:
Department of Otolaryngology, North Staffordshire Royal Infirmary, Stoke on Trent, UK.
*
Address for correspondence: B. N. Kumar, ENT Registrar, North Staffordshire Royal Infirmary, Stoke on Trent. Fax: 01782-416197.
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Abstract

Benign necrotizing osteitis of the external auditory meatus is a rare condition which occurs in non-diabetic healthy people. The aetiology of the necrotic process with the formation of sequestrum in the bony external meatus is unknown. It is important to differentiate this benign process from malignant otitis externa and radionecrosis of the temporal bone as the management of these conditions differs. We present two cases, one managed surgically and the other medically, and review the literature. Immediate surgical excision of the sequestrum is advocated instead of long-term medical therapy and waiting for it to separate spontaneously.

Keywords

Otitis externaOsteonecrosis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 3 , March 1997 , pp. 269 - 270
Copyright
Copyright © JLO (1984) Limited 1997

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References

Birzgalis, A. R., Ramsden, R. T., Farrington, W. T., Small, M. (1993) Severe radionecrosis of the temporal bone. Journal of Laryngology and Otology 107: 183–187.CrossRefGoogle ScholarPubMed
Goufas, G. (1954) The diagnosis and pathogenesis of benign necrotic osteitis of the external meatus. Annals of Otolaryngology 71: 390–396.Google Scholar
Hammond, V. (1987) In Scott-Brown's Diseases of the Ear, Nose and Throat (Booth, J. B., Kerr, A. G., eds.). 5th Edition, vol. 3, Butterworths, London, p 163.Google Scholar
Raines, J., Schindler, R. (1980) The surgical management of recalcitrant malignant external otitis. Laryngoscope 90: 369–378.CrossRefGoogle ScholarPubMed
Uri, N., Kitzes, R., Meyer, W., Schuchman, G. (1984) Necrotizing external otitis. The importance of prolonged drug therapy. Journal of Laryngology and Otology 98: 1083–1085.CrossRefGoogle ScholarPubMed
Wormald, P. J. (1994) Surgical management of benign necrotizing otitis externa. Journal of Laryngology and Otology 108: 101–105.CrossRefGoogle ScholarPubMed
Youngs, R., Willatt, D. (1985) Benign necrotizing osteitis of the external auditory meatus. Journal of Laryngology and Otology 99: 805–808.CrossRefGoogle ScholarPubMed