https://scholars.lib.ntu.edu.tw/handle/123456789/592678
標題: | Outcomes of malignant external otitis: Survival vs mortality | 作者: | Chun-Nan Chen Chen Y.-S. TE-HUEI YEH Hsu C.-J. FEN-YU TSENG |
公開日期: | 2010 | 出版社: | Informa Healthcare | 卷: | 130 | 期: | 1 | 起(迄)頁: | 89-94 | 來源出版物: | Acta Oto-Laryngologica | 摘要: | Conclusions. In patients with malignant external otitis (MEO), mortality was not related to age, sex, degree of glucose tolerance, duration of diabetes mellitus (DM), microorganism, comorbid disease, or involvement of a single cranial nerve. Severe complications such as skull base osteomyelitis, intracranial extension, and involvement of multiple cranial nerves were correlated with mortality. Objectives. To analyze the factors that affect the survival of patients with MEO in today's era of advanced antibiotics. Patients and methods. Patients with a diagnosis of MEO from 1993 to 2005 were collected. Results. A total 26 patients with a mean age of 63.7±10.2 years were included. All had a history of DM. Pseudomonas aeruginosa (26.9%), Klebsiella pneumoniae (19.2%), and fungus (15.4%) were most frequently found in pus cultures. Cranial nerves were involved in 11 patients: the facial nerve was most frequently (38.46%) involved. Complications such as osteomyelitis (11 patients) and intracranial involvement (3 patients) were noted in this series. Mastoidectomy was performed in 12 patients. A total of five patients died. ? 2010 Informa UK Ltd All rights reserved. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-75449093821&doi=10.3109%2f00016480902971247&partnerID=40&md5=65980835ad09d785e5fbad579b3e7ff6 https://scholars.lib.ntu.edu.tw/handle/123456789/592678 |
ISSN: | 0001-6489 | DOI: | 10.3109/00016480902971247 | SDG/關鍵字: | aminoglycoside; cephalosporin; penicillin G; quinolone; adult; aged; article; Aspergillus niger; bacterium culture; brain disease; cause of death; clinical article; comorbidity; computer assisted tomography; cranial nerve; cranial neuropathy; external otitis; facial nerve; female; human; Klebsiella pneumoniae; length of stay; male; malignant external otitis; mastoidectomy; mortality; osteomyelitis; priority journal; Pseudomonas aeruginosa; pus; skull base; survival time; treatment outcome; Cranial Nerve Diseases; Diabetes Complications; disease course; Klebsiella Infections; Klebsiella pneumoniae; middle aged; Mycoses; osteomyelitis; Otitis Externa; Pseudomonas aeruginosa; Pseudomonas Infections; retrospective study; risk factor; survival; Aged; Comorbidity; Cranial Nerve Diseases; Diabetes Complications; Disease Progression; Female; Humans; Klebsiella Infections; Klebsiella pneumoniae; Length of Stay; Male; Middle Aged; Mycoses; Osteomyelitis; Otitis Externa; Pseudomonas aeruginosa; Pseudomonas Infections; Retrospective Studies; Risk Factors; Skull Base; Survival Analysis |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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