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April 1971

Malignant External Otitis

Author Affiliations

Rochester, Minn; Los Angeles
From the Mayo Graduate School of Medicine, University of Minnesota (Dr. Wilson), Mayo Clinic and Mayo Foundation (Dr. Pulec), and the Temporal Bone Laboratory, University of Southern California, Los Angeles Foundation of Otology (Dr. Linthicum). Dr. Pulec is currently with the Otologic Medical Group, Inc., Los Angeles.

Arch Otolaryngol. 1971;93(4):419-422. doi:10.1001/archotol.1971.00770060611012

Four cases of malignant external otitis relate the seriousness of this disease and its refractive nature to medical and surgical treatment. The disease must be controlled early by systemically administered antibiotics and local ear care. Surgical intervention is indicated when the infection has extended beyond the skin barrier of the ear canal. An essential aspect of the treatment is the rigid control and maintenance of the patient's diabetes mellitus. These patients should be instructed to avoid swimming and self ear canal cleansing and to seek immediate care at the onset of any ear pain or drainage.