scholarly journals Extensive Skull Base Osteomyelitis Secondary to Malignant Otitis Externa

2019 ◽  
Vol 15 (3) ◽  
pp. 463-465 ◽  
Author(s):  
Luca Bruschini ◽  
◽  
Stefano Berrettini ◽  
Cambi Christina ◽  
Simone Ferranti ◽  
...  
Keyword(s):  
Skull Base ◽  
Otitis Externa ◽  
Skull Base Osteomyelitis ◽  
Malignant Otitis Externa

scholarly journals Advanced Imaging Techniques in Skull Base Osteomyelitis Due to Malignant Otitis Externa

2018 ◽  
Vol 6 (1) ◽  
Author(s):  
A. M. J. L. van Kroonenburgh ◽  
W. L. van der Meer ◽  
R. J. P. Bothof ◽  
M. van Tilburg ◽  
J. van Tongeren ◽  
...  
Keyword(s):  
Skull Base ◽  
Otitis Externa ◽  
Imaging Techniques ◽  
Advanced Imaging ◽  
Skull Base Osteomyelitis ◽  
Malignant Otitis Externa

scholarly journals A Case of Transient, Isolated Cranial Nerve VI Palsy due to Skull Base Osteomyelitis

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Brijesh Patel ◽  
Anas Souqiyyeh ◽  
Ammar Ali
Keyword(s):  
Skull Base ◽  
Cranial Nerve ◽  
Facial Pain ◽  
Otitis Externa ◽  
Skull Bone ◽  
Topical Antibiotics ◽  
Skull Base Osteomyelitis ◽  
Cranial Nerve Palsies ◽  
Malignant Otitis Externa ◽  
The Common

Otitis externa affects both children and adults. It is often treated with topical antibiotics, with good clinical outcomes. When a patient fails to respond to the treatment, otitis externa can progress to malignant otitis externa. The common symptoms of skull bone osteomyelitis include ear ache, facial pain, and cranial nerve palsies. However, an isolated cranial nerve is rare. Herein, we report a case of 54-year-old female who presented with left cranial nerve VI palsy due to skull base osteomyelitis which responded to antibiotic therapy.

scholarly journals Malignant otitis externa with skull base osteomyelitis

2011 ◽  
Vol 2011 (5) ◽  
pp. 6-6 ◽  
Author(s):  
E Illing ◽  
M Zolotar ◽  
E Ross ◽  
O Olaleye ◽  
N Molony
Keyword(s):  
Skull Base ◽  
Otitis Externa ◽  
Skull Base Osteomyelitis ◽  
Malignant Otitis Externa

Skull Base Osteomyelitis: Diagnostic and Therapeutic Challenges in Atypical Presentation

2005 ◽  
Vol 133 (1) ◽  
pp. 121-125 ◽  
Author(s):  
Amar Singh ◽  
Mazin Al Khabori
Keyword(s):  
Skull Base ◽  
Cranial Nerve ◽  
Otitis Externa ◽  
Cranial Nerves ◽  
Contralateral Side ◽  
Lateral Sinus ◽  
Skull Base Osteomyelitis ◽  
Atypical Symptoms ◽  
Malignant Otitis Externa ◽  
Atypical Manifestations

OBJECTIVE: We sought to document the diagnostic and management difficulties in masked skull base osteomyelitis secondary to malignant otitis externa, with emphasis on establishing diagnostic criteria in recurrence. STUDY DESIGN: Retrospective analysis of 3 cases of inadequately treated malignant otitis externa in elderly diabetic individuals leading to recurrence and atypical manifestations of skull base osteomyelitis on contralateral side with or without multiple cranial nerve involvement. RESULTS: Two of the 3 cases died of the disease despite aggressive treatment. One case was treated successfully with combination of antipsuedamonal microbial drugs for 8 to 12 weeks and hyperbaric oxygen therapy. Major complications such as thrombosis of lateral sinus and internal jugular vein, meningitis, ophthalmoplegia, blindness, cervical spine erosion and paralysis of all cranial nerves with exception of Ist cranial nerve were observed. CONCLUSION: There is high morbitity and mortality associated with skull base osteomyelitis. In partially treated cases of malignant otitis externa, atypical symptoms and findings of unilateral severe otalgia, unremitting headache, and presence of high ESR, unilateral OME, constitute diagnostic clues of skull base osteomyelitis. Such cases require further investigation with CT, MRI, Technetium 99 and gallium 67 scintigraphy and aggressive management.

scholarly journals Extensive skull base osteomyelitis, devastating complication of otitis externa: A case report and review of the literature

2021 ◽  
Vol 2 (3) ◽  
pp. 1-7
Author(s):  
Khadija El Bouhmadi ◽  
◽  
Myriam Loudghiri ◽  
Youssef Oukessou ◽  
Sami Rouadi ◽  
...  
Keyword(s):  
Skull Base ◽  
Otitis Externa ◽  
Delayed Diagnosis ◽  
Petrous Bone ◽  
Term Treatment ◽  
Skull Base Osteomyelitis ◽  
Long Term Treatment ◽  
Orbital Wall ◽  
The Right

Skull base osteomyelitis (SBO), also referred to as malignant otitis externa (MOE) in its typical form, is usually a complication of otitis externa and severe uncommon and life-threatening condition requiring early diagnosis and long-term treatment in order to avoid its neurologic sequelae. We report the case of 69 years old female with a history of uncontrolled type 2 diabetes, who presented refractory and chronic right-sided purulent otorrhea with temporal headaches for 6 months, treated with no improvement by multiple attempts of ambulatory empiric therapy. After the appearance of grade III facial palsy and painful swelling in the right periorbital and zygomatic areas, the patient consulted in our department where a CT scan showed massive cortical and trabecular destruction of the right petrous bone and the mastoid extended to the lateral orbital wall, the zygomatic arch and the greater sphenoid wing realising extensive osteomyelitis of the skull base and the lateral face. The treatment was started immediately based on intravenous broad-spectrum antibiotics. Despite aggressive long-term treatment, the patient passed away, underlying the increased SBO morbidity and mortality secondary to delayed diagnosis.

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