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Malignant otitis externa - Treatment

Alternative Names

Osteomyelitis of the skull; Otitis externa - malignant

Treatment:

The goal of treatment is to cure the infection. Treatment often lasts for several months, because it is difficult to treat the bacteria and reach an infection in bone tissue.

Antibiotics that are effective against the microorganism are given for long periods of time. They may be given through a vein (intravenously), or by mouth. Antibiotics should be continued until scans or other tests show that inflammation has gone down.

Occasionally, surgery to remove dead or damaged tissue (surgical debridement) in the skull is needed.

Expectations (prognosis):

Malignant otitis externa usually responds to long-term treatment, but it may return in the future.

Complications:

  • Damage to the cranial nerves, skull, or brain
  • Return of infection, even after treatment
  • Spread of infection to the brain or other parts of the body

Calling your health care provider:

Call for an appointment with your health care provider if:

  • You develop symptoms of malignant otitis externa
  • Symptoms continue despite treatment
  • You develop new symptoms

Go to the emergency room or call the local emergency number (such as 911) if you have:

  • Reviewed last on: 10/10/2008
  • Alan Lipkin, MD, Otolaryngologist, Private Practice, Denver, Colorado. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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