Malignant otitis externa: An Australian case series.

Hdl Handle:
http://hdl.handle.net/10147/207305
Title:
Malignant otitis externa: An Australian case series.
Affiliation:
Royal College of Surgeons Ireland, Otolaryngology, Beaumont Hospital, Dublin,, Ireland.
Citation:
Surgeon. 2011 Oct 25.
Journal:
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207305
DOI:
10.1016/j.surge.2011.09.004
PubMed ID:
22032882
Abstract:
OBJECTIVES: To establish a clinicopathological profile of malignant otitis externa (MOE) in an Australian tertiary referral institution. STUDY DESIGN: Retrospective cohort outcomes study. METHODS: 24 patients were identified with MOE between January 1998 and July 2007. Patients were classified into Radiological Grades I-IV. Laboratory investigations Including C-reactive protein (CRP), white cell count (WCC), glycosylated haemoglobin (HBA1c) and average glucose level over admission were recorded. RESULTS: Radiological Grade was significantly associated with duration of therapy (rank correlation 0.57, p = 0.004). CRP was a useful indicator confirming disease resolution. Diabetics with MOE had elevated average blood sugar levels during their Hospital admission (p < 0.001) and had poor overall glycaemic control represented by Elevated HBA1c scores (p < 0.001). CONCLUSIONS: Malignant otitis externa is a rare disease, which is best managed in a multidisciplinary team setting. This practical grading system can be used to predict the duration of therapy at time of diagnosis, which enables the efficient utilisation of Hospital resources. Poorly controlled diabetics are more susceptible to developing. MOE than diabetics with satisfactory glycaemic control and may represent a subgroup of more brittle diabetics. CRP combined with appropriate clinical and radiological investigations is useful in assessing disease resolution.
Language:
ENG
ISSN:
1479-666X (Electronic); 1479-666X (Linking)

Full metadata record

DC FieldValue Language
dc.date.accessioned2012-02-01T10:04:25Z-
dc.date.available2012-02-01T10:04:25Z-
dc.date.issued2012-02-01T10:04:25Z-
dc.identifier.citationSurgeon. 2011 Oct 25.en_GB
dc.identifier.issn1479-666X (Electronic)en_GB
dc.identifier.issn1479-666X (Linking)en_GB
dc.identifier.pmid22032882en_GB
dc.identifier.doi10.1016/j.surge.2011.09.004en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207305-
dc.description.abstractOBJECTIVES: To establish a clinicopathological profile of malignant otitis externa (MOE) in an Australian tertiary referral institution. STUDY DESIGN: Retrospective cohort outcomes study. METHODS: 24 patients were identified with MOE between January 1998 and July 2007. Patients were classified into Radiological Grades I-IV. Laboratory investigations Including C-reactive protein (CRP), white cell count (WCC), glycosylated haemoglobin (HBA1c) and average glucose level over admission were recorded. RESULTS: Radiological Grade was significantly associated with duration of therapy (rank correlation 0.57, p = 0.004). CRP was a useful indicator confirming disease resolution. Diabetics with MOE had elevated average blood sugar levels during their Hospital admission (p < 0.001) and had poor overall glycaemic control represented by Elevated HBA1c scores (p < 0.001). CONCLUSIONS: Malignant otitis externa is a rare disease, which is best managed in a multidisciplinary team setting. This practical grading system can be used to predict the duration of therapy at time of diagnosis, which enables the efficient utilisation of Hospital resources. Poorly controlled diabetics are more susceptible to developing. MOE than diabetics with satisfactory glycaemic control and may represent a subgroup of more brittle diabetics. CRP combined with appropriate clinical and radiological investigations is useful in assessing disease resolution.en_GB
dc.language.isoENGen_GB
dc.titleMalignant otitis externa: An Australian case series.en_GB
dc.contributor.departmentRoyal College of Surgeons Ireland, Otolaryngology, Beaumont Hospital, Dublin,, Ireland.en_GB
dc.identifier.journalThe surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Irelanden_GB
dc.description.provinceLeinster-

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