Malignant Otitis Externa


Background

Pathophysiology

History/Symptoms

Physical Exam

Diagnostic Testing

Diagnostic Imaging

Differential Diagnosis

  1. Malignant temporal bone tumors
  2. Advanced otitis externa

Treatment

  1. Anti-Pseudomonal antibiotics are the main therapy
  2. NO role for topical agents in treatment
  3. Treatment plan
  4. Adjuvant therapies
  5. Surgical treatment

Disposition

  1. Admit
  2. All cases require ENT consultation
  3. Outpatient therapy occasionally used initially
  4. Frequent (weekly) followup until condition cleared