(H60.2) Malignant otitis externa

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451 286 in individuals diagnosis malignant otitis externa confirmed
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2 290 deaths with diagnosis malignant otitis externa
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1% mortality rate associated with the disease malignant otitis externa

Diagnosis malignant otitis externa is diagnosed Men are 5.89% more likely than Women

238 931

Men receive the diagnosis malignant otitis externa

1 318 (0.6 %)

Died from this diagnosis.

100
95
90
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75
70
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212 355

Women receive the diagnosis malignant otitis externa

972 (0.5 %)

Died from this diagnosis.

Risk Group for the Disease malignant otitis externa - Men aged 10-14 and Women aged 15-19

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In Men diagnosis is most often set at age 0-94
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Less common in men the disease occurs at Age 95+Less common in women the disease occurs at Age 95+
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In Women diagnosis is most often set at age 0-94

Disease Features malignant otitis externa

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Absence or low individual and public risk
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Malignant otitis externa - what does this mean

Malignant otitis externa is a severe infection of the external ear canal caused by bacteria or fungi. it is most common in elderly people with diabetes or a weakened immune system, and is characterized by severe inflammation of the ear canal, pain, hearing loss, and sometimes facial nerve paralysis.

What happens during the disease - malignant otitis externa

Malignant otitis externa is a serious infection of the external auditory canal caused by the bacterium pseudomonas aeruginosa. it usually occurs in elderly patients with diabetes or other immune-compromising conditions. the infection is thought to start in the outer ear canal and spread to the bone and tissue, resulting in inflammation and destruction of the surrounding tissue. this leads to severe pain, swelling, discharge, and hearing loss.

Clinical Pattern

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How does a doctor diagnose

  • Physical examination of the ear canal and external ear
  • Examination of ear discharge
  • Imaging studies such as CT scan or MRI
  • Culture of the ear discharge to rule out infection
  • Blood tests to check for any underlying conditions
  • Biopsy of the affected area to confirm the diagnosis
Additions:
  • Audiogram to assess hearing loss
  • Allergy testing to rule out any allergies

Treatment and Medical Assistance

Main goal of the treatment: To reduce inflammation and infection in the ear and prevent further spread of the disease.
  • Prescribe antibiotics to reduce the infection
  • Prescribe anti-inflammatory medications
  • Perform debridement of the ear canal
  • Prescribe antifungal medications if necessary
  • Prescribe steroid medications to reduce inflammation
  • Perform ear lavage to remove debris and excess fluid
  • Perform surgical procedures to remove damaged tissue
  • Prescribe pain medications to reduce discomfort
  • Prescribe an antiseptic ointment to reduce the risk of infection
  • Monitor the patient's condition and adjust treatment as needed
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11 Days of Hospitalization Required
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Average Time for Outpatient Care Not Established

Malignant otitis externa - Prevention

Malignant otitis externa can be prevented by avoiding activities that increase the risk of infection, such as swimming in contaminated water, using cotton swabs in the ear canal, using hearing aids, and using poorly fitting ear plugs or headphones. additionally, proper hygiene should be maintained, including cleaning the outer ear regularly with a damp cloth, and avoiding the use of ear candles.