ISSN 2149-3987 | E-ISSN 2149-553X
Original Article
Malignant Otitis Externa: A Retrospective Analysis and Treatment Outcomes
1 Department of Otorhinolaryngology, Ege University School of Medicine, İzmir, Turkey  
Turk Arch Otorhinolaryngol 2018; 56: 106-110
DOI: 10.5152/tao.2018.3075
Key Words: Malignant otitis externa, treatment, temporal bone, prognosis
Abstract

Objective: The purpose of this study was to analyze previous treatments and outcomes in patients with malignant otitis externa (MOE) retrospectively. The efficacy of medical and surgical treatments was also evaluated.


Methods
: This study included 25 patients diagnosed with MOE and treated at the Department of Otorhinolaryngology, Ege University School of Medicine between 2006 and 2017. The duration of hospitalization, Hemoglobin A1c (HbA1c) levels of the patients, erythrocyte sedimentation rate (ESR), source of the infection, complications, and previous medical and surgical treatments were also retrospectively assessed.


Results
: The mean age of the patients (7 females and 18 males) was 69.68±11.29 years. The mean length of hospital stay in patients with HbA1c levels ≤6 and in patients with HbA1c levels >6 was 26.86 and 33.39 days, respectively. The mean hospitalization time was significantly longer in patients with HbA1c levels >6 (p<0.05). Additionally, elderly patients (age>65 years) had a significantly longer hospital stay in our study (p<0.05). ESR was found to be 52.76±32.49 (9–108) mm/h at the first examination and 14.92±1.22 (4–32) mm/h at the time of discharge.


Conclusion
: MOE is an aggressive disease that requires conservative management, and ESR proved to be a good indicator of treatment response. Long-term antibiotherapy are recommended for treatment.


Cite this article as
: Kaya İ, Sezgin B, Eraslan S, Öztürk K, Göde S, Bilgen C, Kirazlı T. Malignant Otitis Externa: A Retrospective Analysis and Treatment Outcomes. Turk Arch Otorhinolaryngol 2018; 56(2): 106-10.

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