TY - JOUR
T1 - Characteristics and prognosis of malignant external otitis with facial paralysis
AU - Soudry, Ethan
AU - Joshua, Ben Zion
AU - Sulkes, Jaqueline
AU - Nageris, Ben I.
PY - 2007/10
Y1 - 2007/10
N2 - Objective: To compare the characteristics and prognosis of patients with malignant (necrotizing) external otitis (MEO) with and without facial nerve palsy in today's era of third-generation antibiotics. Design: Comparative retrospective case series. Setting: Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, a tertiary care medical center. Patients: Forty-eight patients with MEO diagnosed and treated from 1990 to 2004. Eight had facial paralysis and 40 had normal facial nerve function. Main Outcome Measures: Clinical, laboratory, and imaging findings and survival. Results: There was no statistically significant difference between patients with and without facial nerve involvement in terms of age, comorbidities, duration of complaints, physical findings, erythrocyte sedimentation rate, and bone scan findings. Computed tomography indicated a more progressive disease in patients with facial nerve involvement. However, no statistically significant between-group difference was found in overall survival. Conclusion: Although facial nerve involvement is a sign of progression of MEO, it does not, by itself, worsen prognosis.
AB - Objective: To compare the characteristics and prognosis of patients with malignant (necrotizing) external otitis (MEO) with and without facial nerve palsy in today's era of third-generation antibiotics. Design: Comparative retrospective case series. Setting: Department of Otolaryngology-Head and Neck Surgery, Rabin Medical Center, a tertiary care medical center. Patients: Forty-eight patients with MEO diagnosed and treated from 1990 to 2004. Eight had facial paralysis and 40 had normal facial nerve function. Main Outcome Measures: Clinical, laboratory, and imaging findings and survival. Results: There was no statistically significant difference between patients with and without facial nerve involvement in terms of age, comorbidities, duration of complaints, physical findings, erythrocyte sedimentation rate, and bone scan findings. Computed tomography indicated a more progressive disease in patients with facial nerve involvement. However, no statistically significant between-group difference was found in overall survival. Conclusion: Although facial nerve involvement is a sign of progression of MEO, it does not, by itself, worsen prognosis.
UR - http://www.scopus.com/inward/record.url?scp=35349029759&partnerID=8YFLogxK
U2 - 10.1001/archotol.133.10.1002
DO - 10.1001/archotol.133.10.1002
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C2 - 17938323
AN - SCOPUS:35349029759
SN - 0886-4470
VL - 133
SP - 1002
EP - 1004
JO - Archives of Otolaryngology - Head and Neck Surgery
JF - Archives of Otolaryngology - Head and Neck Surgery
IS - 10
ER -