Eur Arch Otorhinolaryngol
December 2024
Purpose: Necrotizing otitis externa (NOE) is a serious life-threatening infection, with Pseudomonas (PA) aeruginosa being the primary causative agent. Over the last two decades the use of systemic anti-PA antibiotics expanded substantially and are now prescribed regularly by physicians. Meanwhile, studies indicate shifting trends in the incidence of the offending pathogen in NOE.
View Article and Find Full Text PDFObjective: To investigate the association between sleep deprivation and vestibular dysfunction by Video Head Impulse Test (vHIT).
Methods: This prospective clinical trial explores the impact of acute sleep deprivation on the vestibular-ocular reflex (VOR) in medical residents. The study involved healthy physicians from diverse medical disciplines.
Eur Arch Otorhinolaryngol
March 2022
Purpose: Although the association between necrotizing otitis externa (NOE) and diabetes mellitus (DM) is well known, there is little knowledge in regards to the effects of DM and glycemic control on the outcome of NOE. The aim of the study was to determine the effects of DM duration and glycemic control, and in-hospital glycemic control on NOE severity.
Methods: A retrospective case series analysis, including all patients hospitalized between 1990 and 2018 due to NOE were included.
Eur Arch Otorhinolaryngol
December 2021
Purpose: High-resolution temporal bone computer tomography (HRTBCT) is the most common initial radiological modality used for the assessment of necrotizing otitis externa (NOE).
Objectives: (1) To compare the extension of disease, as seen on HRTBCT, in patients with NOE caused by different pathogens and (2) assess whether radiological findings may suggest the offending pathogen in cases of sterile-NOE.
Methods: All NOE patients were hospitalized between 1990 and 2018.
Eur Arch Otorhinolaryngol
May 2020
Purpose: Treatment for necrotizing otitis externa (NOE) includes long term antibiotic and surgery in selected cases. Indications and extent of surgery, however, are still not defined. The aims of this study were: (1) present our experience in surgery for NOE (2) compare high-resolution computer tomography and perioperative findings (3) suggest recommendations for indications and extent of surgery.
View Article and Find Full Text PDFObjectives: Evaluate the relationship between clinical findings and course of disease among patients with necrotizing otitis externa (NOE).
Study Design: Retrospective case series review.
Setting: Tertiary referral center.
Objective: Necrotising otitis externa is a severe inflammatory process affecting soft tissue and bone, mostly in diabetic patients. Diabetic patients are also at risk of diabetic foot osteomyelitis, another inflammatory condition involving soft tissue and bone. This review aimed to describe the similarities and differences of these entities in an attempt to further advance the management of necrotising otitis externa.
View Article and Find Full Text PDF