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Malignant external otitis: management policy

Published online by Cambridge University Press:  29 June 2007

Osama El-Silimy*
Affiliation:
Department of Otolaryngology, Riyadh National Hospital, P.O. Box 2715, Riyadh 11641, Saudi Arabia.
M. Sharnuby
Affiliation:
Department of Otolaryngology, Riyadh National Hospital, P.O. Box 2715, Riyadh 11641, Saudi Arabia.
*
Mr O. El-Silimy, F.R.C.S., 19 Grange Avenue, Stanmore, Middlesex HA7 2JA, U.K.

Abstract

Malignant external otitis is a progressive pseudomonal infection of the external auditory canal and adjacent structures. In the literature there is no unified policy regarding the management of malignant external otitis. The development of an effective nuclear scanning method and antibiotics active against Pseudomonas aeruginosa have helped in formulating our management policy. A review of four years personal experience with this condition is presented. All of our cases were cured from the disease with no fatality. Gallium67 citrate scans showed that antipseudomonal treatment should continue for up to three months.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1992

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