Temporal bone osteomyelitis and temporoparietal abscess secondary to malignant otitis externa.
OBJECTIVE
We report an advanced presentation of osteomyelitis of the temporal bone secondary to malignant otitis externa.


METHODS
We present a case report and a review of the world literature concerning osteomyelitis of the temporal bone secondary to malignant otitis externa.


RESULTS
A 60-year-old diabetic man developed osteomyelitis of the temporal bone and a temporoparietal abscess as advanced complications of malignant otitis externa. He was successfully treated in our institution using a post aural incision after draining the abscess and excising the fistula, a modified radical mastoidectomy with canal wall down procedure with sequesterectomy and debridement of surrounding area done.


CONCLUSIONS
The terms 'osteomyelitis of the temporal bone', 'skull base osteomyelitis' and 'malignant otitis externa' have not been clearly defined, and have in the past often been used interchangeably in the literature. Osteomyelitis of the temporal bone can occur secondary to malignant otitis externa, acute otitis media, chronic suppurative otitis media or trauma. Here, we present the management of an advanced case of osteomyelitis of the temporal bone.
Department of Otorhinolaryngology-Head and Neck Surgery, District Government Wenlock Hospital, Mangalore, Karnataka State, India. drbhaskeralva@yahoo.co.in
B
B
Alva
K Chandra
KC
Prasad
S Chandra
SC
Prasad
S
S
Pallavi
D000038:Abscess / Q000209:etiology* / Q000628:therapy; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004322:Drainage / Q000379:methods; D006801:Humans; D008297:Male; D008416:Mastoid; D008875:Middle Aged; D010019:Osteomyelitis / Q000209:etiology* / Q000628:therapy; D010032:Otitis Externa / Q000150:complications*; D013701:Temporal Bone; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome