A retrospective review and multi-specialty, evidence-based guideline for the management of necrotising otitis externa.
CONCLUSION: This multi-departmental approach has facilitated the development of a succinct, systematic guideline for the management of necrotising otitis externa. Initial patient outcomes appear promising. PMID: 32498757 [PubMed - as supplied by publisher]
CONCLUSION: Apparent diffusion coefficient is a non-invasive imaging parameter useful for predicting skull base osteomyelitis in necrotising otitis externa patients. PMID: 32498734 [PubMed - as supplied by publisher]
Emergency providers expeditiously sift and sort patients on their shifts and streamline procedures like how to place an ear wick in a patient with otitis externa, a quick and useful procedure for a patient who will reap the rewards.Standard ear wicks. The material is made from a dehydrated sponge composed of hydroxylated poly(vinyl acetate). It increases in size when liquid is applied. Photo by M. Roberts.Otitis externa can cause significant swelling, irritation, pruritis, and pain to the ear canal. Occasionally, the canal is so swollen it may be difficult to administer ear drops. An ear wick can be inserted between the...
The Roberts discuss how an ear wick inserted between the swollen canal walls can help instill medication and keep the medication around longer to assist with healing. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
In conclusion, we have demonstrated for the first time that miRNAs can be efficiently extracted and quantified from cerumen, that their profile changes between healthy and otitis affected dogs, and that they may serve as potential biomarkers. Further studies are necessary to confirm their diagnostic value and to investigate their interaction with immune-related genes.
1157Objectives: Necrotizing otitis externa (NOE), also referred to as "malignant otitis externa," is an uncommon complication of external ear canal infections, resulting in skull base osteomyelitis. Multiple pathogens have been implicated, the most common of which is Pseudomonas aeruginosa. Risk factors include diabetes, advanced age, and immunocompromised status. Clinical features include unremitting otalgia, otorrhea, headache, and cranial nerve involvement. Treatment consists of prolonged parenteral antibiotics and selective surgical debridement. Inadequate treatment of NOE is associated with significant morbi...
Abstract Foreign bodies in the ear are relatively common in emergency medicine. However, attempts at removal made outside the healthcare setting by untrained persons can result in complications of varying degrees. We conducted a 3-year retrospective review of 123 cases of aural foreign bodies at our hospital in Nigeria. Our patient population was made up of 80 males and 43 females, aged 2 to 67 years (mean: 13.2); almost three-fourths of these patients were aged 15 years or younger. Only 40 of them (32.5%) presented to an otolaryngologist within 12 hours of foreign-body insertion. A total of 30 patients (24.4%) ha...
Conclusion: The coincidental finding of vestiges of SOS in an elderly patient with DS raises the question of whether cross-sectional skull base images can show differences in the ossification of SOS between DS patients and a normal population.
Malignant otitis externa (MOE) is a progressive infection of the external auditory canal (EAC). This disease is rare but has severe morbidity and mortality.