C Peled1, M Kraus1, D Kaplan1. 1. Department of Otolaryngology - Head and Neck Surgery,Soroka University Medical Center and Faculty of Health Sciences, Ben-Gurion University in the Negev,Beer-Sheva,Israel.
Abstract
OBJECTIVE: Necrotising otitis externa is a severe inflammatory process affecting soft tissue and bone, mostly in diabetic patients. Diabetic patients are also at risk of diabetic foot osteomyelitis, another inflammatory condition involving soft tissue and bone. This review aimed to describe the similarities and differences of these entities in an attempt to further advance the management of necrotising otitis externa. METHOD: A PubMed search was conducted using the key words 'otitis externa', 'necrotising otitis externa', 'malignant otitis externa', 'osteomyelitis' and 'diabetic foot'.Results and conclusionThe similarities regarding patient population and pathophysiology between necrotising otitis externa and diabetic foot osteomyelitis raise basic questions concerning the effects of long-standing diabetes on the external ear. The concordance between local swabs and bone cultures in diabetic foot osteomyelitis is less than 50 per cent. If this holds true also to necrotising otitis externa, the role of deep tissue cultures should be strongly considered. Similar to diabetic foot osteomyelitis, magnetic resonance imaging should be considered in selected necrotising otitis externa subgroups.
OBJECTIVE:Necrotising otitis externa is a severe inflammatory process affecting soft tissue and bone, mostly in diabeticpatients. Diabeticpatients are also at risk of diabetic foot osteomyelitis, another inflammatory condition involving soft tissue and bone. This review aimed to describe the similarities and differences of these entities in an attempt to further advance the management of necrotising otitis externa. METHOD: A PubMed search was conducted using the key words 'otitis externa', 'necrotising otitis externa', 'malignant otitis externa', 'osteomyelitis' and 'diabetic foot'.Results and conclusionThe similarities regarding patient population and pathophysiology between necrotising otitis externa and diabetic foot osteomyelitis raise basic questions concerning the effects of long-standing diabetes on the external ear. The concordance between local swabs and bone cultures in diabetic foot osteomyelitis is less than 50 per cent. If this holds true also to necrotising otitis externa, the role of deep tissue cultures should be strongly considered. Similar to diabetic foot osteomyelitis, magnetic resonance imaging should be considered in selected necrotising otitis externa subgroups.
Authors: Marcos Frata Rihl; Felipe Marchiori Bau; Igor de Oliveira; Manoela Astolfi Vivan; Roseane Cardoso Marchiori Journal: SAGE Open Med Case Rep Date: 2019-03-05
Authors: S H Hodgson; V J Sinclair; J Arwyn-Jones; K Oh; K Nucken; M Perenyei; V Sivapathasingam; P Martinez-Devesa; S T Pendlebury; J D Ramsden; P C Matthews; P Pretorius; M I Andersson Journal: J Laryngol Otol Date: 2022-01-19 Impact factor: 2.187