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Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa

Published online by Cambridge University Press:  17 April 2009

B Alva ,
K Chandra Prasad ,
S Chandra Prasad  and
S Pallavi
B Alva*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, District Government Wenlock Hospital, Mangalore, Karnataka State, India
K Chandra Prasad
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, District Government Wenlock Hospital, Mangalore, Karnataka State, India
S Chandra Prasad
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, District Government Wenlock Hospital, Mangalore, Karnataka State, India
S Pallavi
Affiliation:
Department of Radiodiagnosis, Kasturba Medical College, Mangalore, Karnataka State, India
*
Address for correspondence: Dr Bhasker Alva, Classic Arcade, KS Rao Street, Hampankatta, Mangalore, Karnataka State, India 575001. Fax: +91 824 2428379 E-mail: [email protected]
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Abstract

Objective:

We report an advanced presentation of osteomyelitis of the temporal bone secondary to malignant otitis externa.

Method:

We present a case report and a review of the world literature concerning osteomyelitis of the temporal bone secondary to malignant otitis externa.

Results:

A 60-year-old diabetic man developed osteomyelitis of the temporal bone and a temporoparietal abscess as advanced complications of malignant otitis externa. He was successfully treated in our institution using a post aural incision after draining the abscess and excising the fistula, a modified radical mastoidectomy with canal wall down procedure with sequesterectomy and debridement of surrounding area done.

Conclusion:

The terms ‘osteomyelitis of the temporal bone’, ‘skull base osteomyelitis’ and ‘malignant otitis externa’ have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.

Keywords

Otitis ExternaOsteomyelitisTemporal BoneDiabetes Mellitus
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 11 , November 2009 , pp. 1288 - 1291
Copyright
Copyright © JLO (1984) Limited 2009

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