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Interhemispheric subdural abscess: A rare complication of atticoantral ear disease

August 10, 2012  |  Borlingegowda Viswanatha, MS, DLO


A 14-year-old girl who had been experiencing ear discharge for the previous 3 years was referred to a tertiary care center for management of a 3-day history of severe headache and vomiting. Otolaryngologic examination revealed the presence of an atticoantral...

Is there an ototoxicity risk from Cortisporin and comparable otic suspensions? Distortion-product otoacoustic emission findings

March 1, 2012  |  Leonard P. Berenholz, MD, Dyana L. Rossi, MA, William H. Lippy, MD, and John M. Burkey, MA


The purpose of this investigation was to use distortion-product otoacoustic emission (DPOAE) testing to address the issue of possible ototoxicity from the use of neomycin/polymyxin B/hydrocortisone otic suspension following tympanostomy tube placement. We retrospectively...

Tuberculous otitis media

September 21, 2011  |  Min-Tsan Shu, MD, Cheng-Chien Yang, MD, and Kang-Chao Wu, MD

Lateral sinus thrombosis in children: A review

June 14, 2011  |  Borlingegowda Viswanatha, MS, DLO


A retrospective study was undertaken to review the clinical presentation, evaluation, management, and outcome of otogenic lateral sinus thrombosis (LST) in children. All pediatric patients with LST seen in our department between 1999 and 2007 were included; there were 9 cases...

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)


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


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


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 (...


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