Complicated necrotizing otitis externa

Mariam T. Nawas*, Vistasp J. Daruwalla, David Spirer, Alan G Micco, Alexander J Nemeth

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Necrotizing (malignant) otitis externa (NOE) is a rare and invasive infection originating in the external acoustic meatus seen most commonly in diabetes and other immunocompromised states. After a protracted course, disease can smolder and extend into the mastoid, skull base, dural sinuses, and intracranially. We present a case of NOE complicated by mastoiditis, dural sinus thrombosis, and Bezold's abscess in an uncontrolled diabetic presenting with a prolonged course of facial nerve palsy. We stress the importance of maintaining a high index of clinical suspicion for NOE in diabetic patients and offering timely, aggressive treatment to mitigate its complications.

Original languageEnglish (US)
Pages (from-to)706-709
Number of pages4
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Issue number6
StatePublished - Nov 1 2013

ASJC Scopus subject areas

  • Otorhinolaryngology

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