Home Ahead of print Instructions Contacts
About us Current issue Submit article Advertise  
Editorial board Archives Subscribe Login   
CASE REPORT
Year : 2019  |  Volume : 25  |  Issue : 4  |  Page : 216-218

Malignant external otitis with facial nerve paralysis


ENT Clinic, Head and Neck Department, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy

Correspondence Address:
Prof. Silvia Brancatelli
ENT Clinic, Head and Neck Department, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/indianjotol.INDIANJOTOL_25_19

Rights and Permissions

Malignant external otitis (MOE) is a severe infection of the external auditory canal and the skull base that is often seen in elderly diabetic patients with a high mortality and morbidity rate. in >98% of cases, the causative pathogen is Pseudomonas aeruginosa. Here, we describe a case of MOE associated with facial nerve paralysis in a patient hospitalized. A 62-year-old man was referred to our department experiencing right otalgia, purulent otorrhea, ear loss, and a Grade III right facial nerve palsy according to the House–Brackmann scale. He was affected by uncompensated insulin-dependent type 2 diabetes. The patient had a history of noncholesteatomatous ipsilateral chronic otitis treated with tympanomastoid surgery 10 years before, without any sign of recurrence. After 10 days of specific antibiotic and corticosteroid therapy, symptoms were reduced and the paralysis of the superior branches of the facial nerve had improved, but the persisting swell of the ear canal did not allow a thorough evaluation of the tympanic membrane. Therefore, an explorative tympanotomy was performed, and few days after surgery, the marginalis branch paralysis of the facial nerve had improved according toelectroneurography (ENG) results, and the culture swab showed a polymicrobial flora.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed363    
    Printed2    
    Emailed0    
    PDF Downloaded22    
    Comments [Add]    

Recommend this journal