Korean J Fam Med.  2021 Nov;42(6):483-486. 10.4082/kjfm.20.0071.

Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, Kota Bharu, Malaysia
  • 2Department of Otorhinolaryngology Head and Neck Surgery, Hospital Sultan Ismail, Johor Bahru, Malaysia

Abstract

Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilateral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggressively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.

Keyword

Otitis Externa; Ear; Facial Paralysis; Temporal Bone
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