[Value of hyperbaric oxygen therapy in the treatment of malignant otitis externa. Apropos of a case].
The authors report the case of a 75 years old insulin dependent diabetic man presenting a malignant otitis externa with facial nerve paralysis. Despite prolonged, adequate parenteral antibiotic therapy, the patient's clinical status did not improve. The addition of hyperbaric oxygen as a complementary treatment was followed by the regression of clinical signs and the resolution of infection. Based upon a review of the literature, the authors discuss the indications for this therapy and the problems involved in defining the criteria of cure in malignant otitis externa.
Gilain
L
L
Service d'ORL et de Chirurgie Cervico-Faciale, Centre hospitalier intercommunal de Créteil.
Labroue
M
M
Aidan
D
D
Ragu
M P
MP
Planquart
X
X
Peynegre
R
R
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005158:Facial Paralysis / Q000209:etiology; D005710:Gallium Radioisotopes; D006801:Humans; D006931:Hyperbaric Oxygenation; D008279:Magnetic Resonance Imaging; D008297:Male; D010032:Otitis Externa / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
D000900:Anti-Bacterial Agents; D005710:Gallium Radioisotopes
Intérêt de l'oxygénothérapie hyperbare dans le traitement de l'otite externe maligne. A propos d'un cas.