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CASE REPORT
Year : 2013  |  Volume : 19  |  Issue : 1  |  Page : 33-35

Malignant otitis externa with bilateral cranial nerve involvement: Report of a unique case


1 Department of ENT, RG Kar Medical College and Hospital, Kolkata, India
2 Department of Plastic Surgery, RG Kar Medical College and Hospital, Kolkata, India

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Sundaram Apartments, Barat, Lake Town, Kolkata - 700 089
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-7749.108166

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Malignant otitis externa is an inflammatory condition caused by pseudomonas infection usually in the elderly diabetics, or an immunosuppressive condition that presents with diffuse otitis externa along with excruciating pain and granulations tissue in the external auditory meatus. Facial paralysis is common along with occasional involvement of other cranial nerves. Case report describing a patient of malignant otitis externa who presented to a tertiary referral hospital of eastern India. This patient had ipsilateral facial and tenth cranial nerve paralysis along with delayed-onset contralateral sixth and twelfth cranial nerve palsy. The patient was treated initially with intravenous anti-pseudomonal antibody followed by tympanic platectomy, facial nerve decompression and medialisation thyroplasty. The contralateral cranial nerve palsy was managed conservatively with partial recovery of function. Malignant otitis externa, though a common disease, may occasionally present with uncommon or unexplained presentations. The management of these cases should be prompt and aggressive and specifically address each of the debilitating complications.


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