Abstract Four cases of malignant external otitis relate the seriousness of this disease and its refractive nature to medical and surgical treatment. The disease must be controlled early by systemically administered antibiotics and local ear care. Surgical intervention is indicated when the infection has extended beyond the skin barrier of the ear canal. An essential aspect of the treatment is the rigid control and maintenance of the patient's diabetes mellitus. These patients should be instructed to avoid swimming and self ear canal cleansing and to seek immediate care at the onset of any ear pain or drainage. References 1. Meltzer PE, Kelemen G: Pyocyaneous osteomyelitis of the temporal bone, mandible and zygoma . Laryngoscope 69:1300-1316, 1959.Crossref 2. Chandler JR: Malignant external otitis . Laryngoscope 78:1257-1294, 1968.Crossref 3. Senturia BH: Diseases of the External Ear . Springfield, 111, Charles C Thomas, Publisher, 1957. 4. Kelemen G: Osteomyelitis of the temporal bone , in Coates GM, Schenck HP, Miller MV (eds): Otolaryngology , vol 2. Hagerstown, Md, WF Prior Co Inc, 1957, p 26. 5. Brunner H: Intracranial Complications of Ear, Nose and Throat Infections . Chicago, Year Book Publishers, 1946.
Archives of Otolaryngology – American Medical Association
Published: Apr 1, 1971
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