Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients
Malignant otitis externa (MOE) is an aggressive infection of the external auditory canal that primarily affects diabetic patients. Some literature supports the effectiveness of hyperbaric oxygen therapy (HBOT) as a treatment modality for MOE. A case series was conducted of all patients diagnosed wit...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Oman Medical Specialty Board
2023-05-01
|
| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3413 |
| _version_ | 1797805603010117632 |
|---|---|
| author | Abdulhameed Al Siyabi Badriya Al Farsi Asma Al-Shidhani Zainb Al Hinai Yousuf Al Balushi Hassan Al Qartoobi |
| author_facet | Abdulhameed Al Siyabi Badriya Al Farsi Asma Al-Shidhani Zainb Al Hinai Yousuf Al Balushi Hassan Al Qartoobi |
| author_sort | Abdulhameed Al Siyabi |
| collection | DOAJ |
| description | Malignant otitis externa (MOE) is an aggressive infection of the external auditory canal that primarily affects diabetic patients. Some literature supports the effectiveness of hyperbaric oxygen therapy (HBOT) as a treatment modality for MOE. A case series was conducted of all patients diagnosed with MOE and treated with HBOT at the Said Bin Sultan Naval Base Polyclinic in Oman between January 2014 and December 2019. A total of 20 patients were included in the study. All participants presented with persistent ear discharge, 95.0% with otalgia, and 75.0% with granulation in the external auditory canal. Moreover, 100% showed abnormally high levels of inflammatory markers and abnormal computed tomography findings. The patients underwent an average of 29.0±8.9 HBOT sessions. Overall, 19 (95.0%) patients were considered cured by the end of the treatment. The use of HBOT in the management of MOE appears promising and may cure MOE. |
| first_indexed | 2024-03-13T05:54:32Z |
| format | Article |
| id | doaj.art-18fdc8210ed640029139969c2ab4c6ba |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-03-13T05:54:32Z |
| publishDate | 2023-05-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-18fdc8210ed640029139969c2ab4c6ba2023-06-13T06:51:19ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042023-05-01383e512e51210.5001/omj.2023.19Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 PatientsAbdulhameed Al Siyabi0Badriya Al Farsi1Asma Al-Shidhani2Zainb Al Hinai3Yousuf Al Balushi4Hassan Al Qartoobi5Said bin Sultan Naval Base Polyclinic, Armed Forces Medical Services, Al Musanna, OmanSaid bin Sultan Naval Base Polyclinic, Armed Forces Medical Services, Al Musanna, OmanDepartment of Family Medicine and Public Health, College of Medicine, Sultan Qaboos University, Muscat, OmanDepartment of Family Medicine and Public Health, College of Medicine, Sultan Qaboos University, Muscat, OmanDepartment of Family Medicine and Public Health, College of Medicine, Sultan Qaboos University, Muscat, OmanSaid bin Sultan Naval Base Polyclinic, Armed Forces Medical Services, Al Musanna, OmanMalignant otitis externa (MOE) is an aggressive infection of the external auditory canal that primarily affects diabetic patients. Some literature supports the effectiveness of hyperbaric oxygen therapy (HBOT) as a treatment modality for MOE. A case series was conducted of all patients diagnosed with MOE and treated with HBOT at the Said Bin Sultan Naval Base Polyclinic in Oman between January 2014 and December 2019. A total of 20 patients were included in the study. All participants presented with persistent ear discharge, 95.0% with otalgia, and 75.0% with granulation in the external auditory canal. Moreover, 100% showed abnormally high levels of inflammatory markers and abnormal computed tomography findings. The patients underwent an average of 29.0±8.9 HBOT sessions. Overall, 19 (95.0%) patients were considered cured by the end of the treatment. The use of HBOT in the management of MOE appears promising and may cure MOE.https://omjournal.org/articleDetails.aspx?coType=1&aId=3413otitis externaear canalhyperbaric oxygenationdiabetes complicationsoman |
| spellingShingle | Abdulhameed Al Siyabi Badriya Al Farsi Asma Al-Shidhani Zainb Al Hinai Yousuf Al Balushi Hassan Al Qartoobi Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients Oman Medical Journal otitis externa ear canal hyperbaric oxygenation diabetes complications oman |
| title | Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients |
| title_full | Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients |
| title_fullStr | Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients |
| title_full_unstemmed | Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients |
| title_short | Management of Malignant Otitis Externa with Hyperbaric Oxygen Therapy: A Case Series of 20 Patients |
| title_sort | management of malignant otitis externa with hyperbaric oxygen therapy a case series of 20 patients |
| topic | otitis externa ear canal hyperbaric oxygenation diabetes complications oman |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3413 |
| work_keys_str_mv | AT abdulhameedalsiyabi managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients AT badriyaalfarsi managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients AT asmaalshidhani managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients AT zainbalhinai managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients AT yousufalbalushi managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients AT hassanalqartoobi managementofmalignantotitisexternawithhyperbaricoxygentherapyacaseseriesof20patients |