Malign Eksternal Otitli Hastalarda Prognozu Olumsuz Etkileyen Faktörlerin Ve Tedavi Etkinliğinin Araştırılması

Purpose: Malignant external otitis is a very rare and serious infection of temporal bone and surrounding tissues. This report aimed to determine negative prognostic factors, effectiveness of treatment and companing with literature. Material and Methods: Fourty-one patient"s files who were hospitalized in Cukurova University Medical Faculty Ear Nose and Throat department were examined retrospectively. Patient"s files, comorbidities, radiographic examination, microbiological culture results, treatment protocols, treatment and their responses were analyzed. Results: Patients were between 38 and 90 years old and median age was 63,24. Fourty of them were diabetic. Nine of 19 insulin users (47,4%) and 5 of oral antidiabetic users (23,8%) were found to be in negative prognostic group. There were 7 patients with facial paralysis and 3 of them died. There were bilateral diseases in 5 patients and 4 of them had recurrence after treatment. Eight patients had advenced radiological findings and 1 of them died (12,5%). And 6 of 8 patients who had serious infection of temporal bone assesed in negative prognostic group. Conclusion: Insulin dependent diabetes, bilateral disease, advenced infection and facial paralysis were considered to be negative prognostic factors. The success of treatment was considered to be dependent on control of diabetes, daily ear aspirations, and long term combined antibiotherapy. Early diagnosis and treatment is essential.