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Otitis

The pH of commonly used topical ear drops in the treatment of otitis externa

April 1, 2011  |  Chee-Yean Eng, MRCS, DOHNS and Amged S. El-Hawrani, FRCS(ORL-HNS)

Abstract

Healthy ear canal skin has an acidic pH. Evidence suggests that reacidification of the ear canal may lead to resolution of otitis externa. The pH of 15 commonly prescribed topical ear drop preparations used in the treatment of otitis externa was measured using a Jenway 3020 pH...

Otitic hydrocephalus: A report of 2 cases

July 1, 2010  |  Borlingegowda Viswanatha, MS, DLO

Abstract

Otitic hydrocephalus is a rare intracranial complication of otitis media. It is characterized by elevated cerebrospinal fluid (CSF) pressure with normal CSF biochemistry and without any focal neurologic abnormality other than those related to the increased intracranial pressure...

Amyloidosis of the external auditory canal

May 1, 2010  |  James J. Klemens, MD, Wendy Recant, MD, Joseph M. Baron, MD, and Miriam I. Saadia-Redleaf, MD

Abstract

We present a case of bilateral otitis externa that did not respond to local treatment. Cutaneous biopsies revealed bilateral amyloid depositions secondary to multiple myeloma. Persistent, identical bilateral canal lesions may be the only manifestation of treatable systemic...

Necrotizing otitis externa: A new trend? Report of 6 atypical cases

December 1, 2009  |  Fergal Glynn, MRCSI and Rory McConn Walsh, MD, FRCS (ORL-HNS)

Abstract

Necrotizing otitis externa (OE) is traditionally seen in elderly diabetics and immunocompromised patients. During a 7-year period at our institution, we treated 6 patients with necrotizing OE who were not diabetic, who were not immunocompromised, and who were relatively young (...

Review of inactive ingredients in antibiotic ear drops

December 1, 2009  |  G. Michael Wall, PhD, Onkar Singh, PhD, Leslie Lemke, PhD, DABT, and Peter Roland, MD

Abstract

The authors review the relevant chemical and biological characteristics of inactive ingredients in antibiotic ear drop drug products. Although many of the older aminoglycoside-containing otic products are still used today, only some fluoroquinolone-containing ear drops,...

Bilateral atticoantral chronic suppurative otitis media presenting as bilateral cutaneous mastoid fistulas

October 1, 2009  |  Kemmannu Vikram Bhat, MS, DNB, PhD, Shankarappa Gangadharaiah Udayashankar, MS, DLO, and Belur Keshavamurthy Venkatesha, MS, DNB; Praveen Kumar, MS

Abstract

Postauricular cutaneous mastoid fistula secondary to chronic suppurative otitis media (CSOM) is an unusual complication. Bilateral manifestation along with primary acquired cholesteatoma and atelectasis of the pars tensa as an end-stage complication in the natural course of...

Location of the ventilation tube

June 1, 2009  |  Michael M. Paparella, MD

Benign necrotizing otitis externa

June 1, 2009  |  Alexandros Tsikoudas, FRCS(Ed), DLO and Brian Clive Davis, FRCS(Ed)

Abstract

Benign necrotizing otitis externa (BNOE) is a rare condition of the external acoustic meatus characterized by ulceration of the floor of the deep meatus overlying an area of bony necrosis. Recognition of this condition as different from malignant necrotizing otitis externa (...

Otogenic cerebellar abscess: A case report

April 1, 2009  |  Gresham T. Richter, MD, Jason A. Smith, MD, and John L. Dornhoffer, MD

Abstract

This case report describes the gradual deterioration of a healthy, highly functioning man who initially presented with a draining right ear. The patient's indolent neurologic decline and referral to an otologist ultimately led to the diagnosis and treatment of an otogenic...

The prevalence of hearing loss among schoolchildren with chronic suppurative otitis media in Nigeria, and its effect on academic performance

December 1, 2008  |  Fatai Olatoke, MBBS, Foluwasayo Emmanuel Ologe, MBBS, Clement C. Nwawolo, MBBS, and Mohammed Jimoh Saka, MBBS

Abstract

We conducted a cross-sectional study to determine the prevalence of hearing loss among 1,500 Nigerian schoolchildren aged 9 to 15 years who had chronic suppurative otitis media (CSOM). We also attempted to ascertain the effect that this hearing loss had on their academic...

Acute suppurative otitis media

May 1, 2008  |  Eric P. Wilkinson, MD and Rick A. Friedman, MD, PhD

Multiple simultaneous complications of acute otitis media in a child diagnosed with chronic granulomatous disease: A case report

May 1, 2008  |  Robert Wilson, MD, Tarika Bhuta, MD, and Richard Haydon, MD

Abstract

While the prevalence of acute otitis media complications in pediatric patients has decreased over the past 30 years because of effective antibiotic therapy, the incidence has begun to rise again recently, possibly because of increased antibiotic resistance. Patients who...

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