title: The role of surgery in necrotizing otitis externa.
abstract: This retrospective case review describes a subset of 5 patients with necrotizing otitis externa (NOE) with a refractory disease course who underwent surgery as part of their management plan between 2008 and 2013. Surgery promoted the cure of 4 of the 5 patients, and a fungal pathogen was recovered in 4 of 5 surgical samples. We conclude that surgery may be a necessary diagnostic and treatment adjunct in selective cases of NOE, especially in patients with a refractory disease course or with a suspected fungal etiology.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Galilee Medical Center, Affiliated to the Faculty of Medicine, Bar-Ilan University, Nahariya, Israel. maayan_gr@yahoo.com.
authors.forename: Maayan
authors.initials: M
authors.lastname: Gruber
authors.forename: Eyal
authors.initials: E
authors.lastname: Sela
authors.forename: Ilana
authors.initials: I
authors.lastname: Doweck
authors.forename: Ariel
authors.initials: A
authors.lastname: Roitman
authors.forename: Nechama
authors.initials: N
authors.lastname: Uri
authors.forename: Samer
authors.initials: S
authors.lastname: Srouji
authors.forename: Raanan
authors.initials: R
authors.lastname: Cohen-Kerem
mesh_terms: D000151:Acinetobacter Infections / Q000628:therapy; D000196:Actinomycosis / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D000935:Antifungal Agents / Q000627:therapeutic use*; D001228:Aspergillosis / Q000628:therapy; D001424:Bacterial Infections / Q000628:therapy*; D002177:Candidiasis / Q000628:therapy; D004424:Ear Canal / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000601:surgery*; D009164:Mycobacterium Infections / Q000628:therapy; D009181:Mycoses / Q000628:therapy*; D009336:Necrosis / Q000628:therapy; D010032:Otitis Externa / Q000628:therapy*; D013506:Otologic Surgical Procedures; D011552:Pseudomonas Infections / Q000628:therapy; D011877:Radionuclide Imaging; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D000935:Antifungal Agents