MALIGNANT OTITIS EXTERNA MANIFESTATIONS, DIAGNOSIS AMONG A SAMPLE FROM DAMASCUS HOSPITALS

Louei Darjazini Nahas, Wafaa Nidal Aldaas, Hamasat Bassam Alshekha and Abdullah Omar*

ABSTRACT

Background: malignant otitis externa is a dangerous condition and can be fatal. Our objective is to analyze the diagnostic approach from signs and symptoms, examination to the radiological methods used and compare the efficacy of each. Methods: This study included 30 patients that were diagnosed with MOE in the department of Otorhinolaryngology in Al-mouasat University Hospital, Syrian Red Crescent, Hospital and Damascus Hospital at Damascus, Syrian Arab Republic. Age, gender characteristics of otorrhea, otic symptoms, clinical manifestation, biopsy, CT scan Findings, and radiologic findings were all assessed. Results: The mean age of the patients was 70-79 (20 males 10 females). The most common otic symptom was otorrhea and hearing loss 96.7%. the most common clinical found was Auditory canal Oedema by 76.7%. radiological density and deterioration of the Auditory canal as the most common finding by 54.2%. on the CT. The Tc-99m scan findings that show patients with osteomyelitis were 72.7%: N=8\11. Conclusion: Moe is considered a serious condition that requires conservative management and it is important to make a diagnosis as soon as possible. Ct is considered a standard method in MOE patients and has a big role in determining the presence of osteomyelitis.

Keywords: Malignant otitis externa, rhinorrhea, otic symptoms, diabetes.