Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-26T11:12:16.412Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgical management of benign necrotizing otitis externa

Published online by Cambridge University Press:  29 June 2007

P. J. Wordmald
P. J. Wordmald*
Affiliation:
Department of Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa.
*
Dr P. J. Wormald, c/o Otolaryngology Dept., Groote Schuur Hospital, Observatory 7925, Cape Town, South Africa.
Get access Rights & Permissions [Opens in a new window]

Abstract

Benign necrotizing otitis externa (BNOE) is a rare condition of unknown aetiology which is characterized by the formation of an avascular bony sequestrum of the tympanic plate. The vascular supply of the tympanic plate is easily compromized as demonstrated by the development of avascular necrosis in radionecrosis of the tympanic plate and malignant otitis externa. Recognition of BNOE as distinct from malignant otitis externa and carcinoma of the external ear is important as the treatment differs greatly. BNOE also forms an important part of the differential diagnosis of recalcitrant otitis externa.

Management of BNOE has been unclear with long-term medical treatment being advocated. In this series of five patients, the surgical management of four patients with BNOE is described. Surgery was successful in all these patients and is advocated as an alternative to medical management.

Keywords

Otitis externabenign necrotizingsurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 2 , February 1994 , pp. 101 - 105
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Birzgalis, A., Ramsden, R., Farrington, W., 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 (Paris) 71: 390–396.Google Scholar
Hammond, V. (1987) Scott-Brown's Diseases of the Ear, Nose and Throat (Booth, J. B., Kevr, A. G., eds.). 5th Edition, vol. 3, Butterworths, London, p 163.Google Scholar
Lucente, E., Pansier, S., Som, P. (1983) Complications of the treatment of malignant external otitis. Laryngoscope 93: 279–281.CrossRefGoogle ScholarPubMed
Nadol, J. (1980) Histopathology of pseudomonas osteomyelitis of the temporal bone starting as malignant external otitis. American Journal of Otolaryngology 1: 359–371.CrossRefGoogle ScholarPubMed
Raines, J., Schindler, R. (1980) The surgical management of recalcitrant malignant external otitis. Laryngoscope 90: 369–378.CrossRefGoogle ScholarPubMed
Salit, I., McNeely, D., Chiat, G. (1985) Invasive external otitis: a review of 12 cases. Canadian Medical Association Journal 132: 381–384.Google 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
Youngs, R., Willatt, D. (1985) Benign necrotizing osteitis of the external auditory meatus. Journal of Laryngology and Otology 99: 805–808.CrossRefGoogle ScholarPubMed