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A case of malignant otitis externa following mastoidectomy

Published online by Cambridge University Press:  29 June 2007

S. K. Patel ,
D. W. McPartlin ,
J. M. Philpott  and
S. Abramovich
S. K. Patel*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
D. W. McPartlin
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
J. M. Philpott
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
S. Abramovich
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, St Mary's Hospital, Praed Street, London, UK.
*
Address for correspondence: Mr Suresh K. Patel, 38 Mollison Way, Edgware, Middlesex HA8 5QW. Fax: 0171 886 1847
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Abstract

We present a case of a 63-year-old diabetic male who developed malignant otitis externa following mastoidectomy. Extensive skull base osteomyelitis caused thrombosis of the jugular bulb and subsequent paralysis of cranial nerves VII, IX, X and XII. Hewas treated aggressively with intravenous antibiotics and debridement of granulation tissue in the mastoid bowl with full recovery of the cranial nerve palsies associated with recanalization of the jugular bulb. We believe this is the first reported case of malignant otitis externa to occur following mastoidectomy with complete recovery of the cranial nerve paresis.

Keywords

Otitis externaJugular veinsCranial nervesParalysis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 12 , December 1999 , pp. 1095 - 1097
Copyright
Copyright © JLO (1984) Limited 1999

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