Malignant otitis externa: What is the role of surgery?
Lisa Zhang, Joseph Bonanno, Woo Yul Byun, Yin Ren · 2024
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Description
Lisa Zhang, Joseph Bonanno, Woo Yul Byun, and Yin Ren asked whether surgery helps in malignant otitis externa, a skull-eating ear infection, in a 2024 study. The disease is usually treated with long courses of broad antibiotics; surgery's added value was unclear. The team reviewed twenty-three patients at a tertiary center from 2010 to 2022, nearly all diabetic, and compared the seventeen who had surgery with the six who did not.
Patients whose facial nerve already worked poorly at arrival were far likelier to be operated on. At a year or more, the groups matched on facial nerve outcomes, hospital stay, readmission, and five-year survival, which sat near a coin flip in both. Diabetes severity did not predict surgery. The authors conclude surgery, as used here, bought no measurable advantage, and that long-term outcomes in this disease remain poor either way.
Catalog record
| CREATOR | Lisa Zhang, Joseph Bonanno, Woo Yul Byun, Yin Ren |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 26 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |