The diagnostic criteria of malignant external otitis
- 1 March 1987
- journal article
- review article
- Published by Cambridge University Press (CUP) in The Journal of Laryngology & Otology
- Vol. 101 (3), 216-221
- https://doi.org/10.1017/s0022215100101562
Abstract
The diagnostic criteria of malignant external otitis (MEO) have been reviewed. They were divided into two categories: obligatory and occasional. The obligatory criteria are: pain, edema, exudate, granulations, microabscess (when operated), positive bone scan or failure of local treatment often more than 1 week, and possibly pseudomonas in culture. The occasional criteria are diabetes, cranial nerve involvement, positive radiograph, debilitating condition and old age. All of the obligatory criteria must be present in order to establish the diagnosis. The presence of occasional criteria alone does not establish it. The importance of Tc99 scan in detecting osteomyelitis is stressed. When bone scan is not available, a trial of 1–3 weeks of local treatment is suggested. Failure to respond to such treatment may assist in making the diagnosis of MEO.Keywords
This publication has 22 references indexed in Scilit:
- Malignant external otitis in a young diabetic patientThe Journal of Laryngology & Otology, 1983
- Laryngology: From Galen to GarciaOtolaryngology -- Head and Neck Surgery, 1982
- Malignant External Otitis: Cure With Adjunctive Hyperbaric Oxygen TherapyJAMA Otolaryngology–Head & Neck Surgery, 1982
- A rare case of malignant otitis externa in a non-diabetic patientThe Journal of Laryngology & Otology, 1978
- Necrotizing otitis externaThe Journal of Laryngology & Otology, 1977
- Malignant external otitis: A severe form of otitis in diabetic patientsAmerican Journal Of Medicine, 1976
- Malignant External Otitis in ChildrenArchives of Otolaryngology (1960), 1976
- Pseudomonal Granulomatous External OtitisActa Oto-Laryngologica, 1972
- Malignant External OtitisJAMA Otolaryngology–Head & Neck Surgery, 1971
- Pyocyaneous osteomyelitis of the temporal bone, mandible and zygoma.The Laryngoscope, 1959