文章基本信息

标题：A Case Report On 75-Year-Old Male withMalignant Otitis Externa and Grade-4 Facial Nerve Palsy
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作者：Bhagyashree Ganeshpure ; Roshan Umate ; Kavita Gomase 等
期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：5
页码：4442-4445
DOI：10.9756/INTJECSE/V14I5.522
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Malignant otitis externa (MOE) is a life-threatening invasive infection of the external auditory canal and lateral skull base that is unusual and rapidly progressing. Toulmouche is credited with being the first to describe this ailment. It's an infection that causes damage to the ear canal bones and the skull's base. The condition is linked to significant cranial nerve involvement and a high death and morbidity rate. The facial nerve is most usually damaged. A 75- year-old male reported to our hospital in the ENT ward with the chief complaint of right ear discharge and rightsided facial weakness for 15 days now. He has come to a tertiary care rural hospital for further treatment. After history collection and physical examination, the doctor diagnosed the case of right-sided malignant otitis externa with right-sided grade 4 facial nerve palsy. Surgical correction was done. Medical treatment included administration of Inj. ceftriaxone + sulbactam 1.5 mg bd, inj. Gentamycin 80 mg bd, inj. INJ. Metrogyl 100 ml iv TDS, inj. pan 40 mg iv bd, inj. Dexa 8 mg bd, inj. Neomol 100ml TDS iv, tab. Chymoral forte TDSBetadine, tab. Zerodol sp bd, tab. Neurobion forte od, tab. Amlo. 5mg od, tab. Elriz XL HS, tab. Limcee 500 mg od, Betadine gargles E/D 4-otobiotic plus two drops of TDS mg, E/D quin bd in the right ear, E/D refresh six times, E/D gel bd, Eye padding at night, galvanic stimulation od. He responded to both medicine and physician counseling. The outcomes were quite favourable.
关键词：MalignantOtitis Externa;Facial Nerve Palsy;facial paralysis;mastoid exploration