Journal

Reading

ICD 10 : H60.2

By :
Gosa Rina Lubis, S. ked
Lisa, S. ked
Nurfa Erin. Ked
Wella Fadillah, S. Ked

Department of the Ear, Nose, Thoart and Head Neck

Medical School Riau University
General Hospital Arifin Achmad Riau Province
2018
 Introduction
Inflamation of external audiotory
Malignant otitis externa canal and is commonly caused by
(MOE) pseudomonas aeruginosa

Introduction Report by Toulmouche in 1838 : necrotizing ototis

externa or skull base osteomyelitis
Methods Chandler published a report in 1968 : MOE

Result
The treatment : antibacterial agents to be
decided after culture and sensitivity of
Discussion the ear discharge

Quinolone proved to be an exellent therapeutic

agent in the beginning
Antipeseudomonal cephalosporins or other
antimicrobial agent
Surgery to the biopsy of the granulation tissue
 Material and Methods
Design  Retrospective

Introduction
Study Setting Evaluated the demographic profile,
coexisting disabilities, clinical presentations, and
Methods management of MOE

Result
Data Collection The case records of pat ients treated
between 2006 and 2013 for MOE were reviewed from
Discussion
the medical record department of the hospital

Data Analyses  tabulated in a master chart and data

were analyzed
 Result

Introduction

Methods

Result

Discussion
 Result

Introduction

Methods

Result

Discussion
 Result
total leukocyte count

Introduction

Methods

Result

Discussion
 Result

Introduction

Methods

Result

Discussion
 Result

Introduction

Methods

Result

Discussion
 Result

Introduction

Methods

Result

Discussion
 Result

Introduction

Methods

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Discussion
 Discussion
MOE

Introduction

Methods

Result

Discussion
 Discussion
commonly seen in Immunocompromised people
diabetes mellitus
Introduction

Methods

Result

Discussion
 Discussion

Introduction
The vulnerability of diabetics to MOE

Methods

Result

Discussion
 Discussion
Clinical features of MOE include
severe

Introduction

Methods

Result

Discussion
 Discussion
Levenson’s criteria
severe nocturnal
Introduction

Methods

Result

Discussion
 Discussion

Introduction

Methods

Result

Discussion
 Discussion

MOE
Introduction Proteus
Staphylococcus
Klebsiella
P.
S. cepacia
mirabilis
oxytoca

Methods

Result

Discussion
 Discussion
•Fungi are occasionally isolated from MOE
patients.
Introduction

Methods
Fungal otitis externa  is considered when a patient
Result with symptoms and signs of MOE does not respond
to the appropriate treatment for MOE

Discussion
 Discussion

Introduction

Methods

Result

Discussion
 Discussion
surgery only for the removal of granulation
A

Introduction

Methods

Result

Discussion
 Discussion
Treatment of MOE is
mainly medical. Strict
control of diabetes
Introduction mellitus is extremely
important in controlling
Methods the disease progression

Result

Discussion ciprofloxacin penicillin-like

carbenicillin and
cephalosporins like
ceftazidime and
amino glycosides
 Discussion
We conclude that MOE

commonly seen in elderly diabetics

Introduction

Methods

Result

Discussion