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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


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...

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


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,...

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)


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 (...

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


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)


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


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


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...

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


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...

Acute suppurative otitis media

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

An estimate of the number of mastoidectomy procedures performed annually in the United States

May 1, 2008  |  Lesley C. French, MD, Mary S. Dietrich, PhD, and Robert F. Labadie, MD, PhD


We conducted a study to estimate the number of mastoidectomy procedures performed annually in the United States. Our results are based on state-specific healthcare utilization data and Medicare-funded procedural data from 2002. The utilization data were obtained from the State...

Clinical evaluation of piezoelectric ear surgery

April 1, 2008  |  Massimo Dellepiane, MD, Renzo Mora, MD, Francesco A. Salzano, MD, and Angelo Salami, MD


We evaluated the use of piezoelectric surgery (Piezosurgery; Mectron Medical Technology; Carasco, Genoa, Italy) as a means of avoiding some complications of osteotomy and osteoplasty in otologic surgery, particularly in classic canal-wall-up mastoidectomy. Piezoelectric surgery...


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