Otitis externa is most commonly caused by infection (usually bacterial, although occasionally fungal), but it may also be associated with a variety of noninfectious systemic or local dermatologic processes. The most characteristic symptom is discomfort that is limited to the external auditory canal, while the most characteristic signs are erythema and swelling of the canal with variable dischar...

An 85-year-old, nondiabetic man is described with necrotizing (malignant) otitis externa. The patient developed facial nerve paralysis in the presence of a progressive cellulitis and chondritis of the external auditory meatus. Destruction of the bony meatus and mastoid and obliteration of normal soft-tissue planes at the skull base were documented by computed tomographic scans. Aspergillus fumi...

BACKGROUND Antineutrophil cytoplasmic antibodies (ANCA) have been used as a diagnostic marker for systemic necrotising vasculitis, a disease classification which includes Wegener granulomatosis, microscopic and classic polyarteritis nodosa, and Churg Strauss disease. OBJECTIVE To compare the diagnostic value of the two methods for detecting these antibodies--immunofluorescence and enzyme link...

Nose, throat, upper respiratory conditions are leading causes of morbidity in women of all age groups. The normal tympanic membrane (A) is a pale, gray, ovoid semitransplant membrane situated obliquely at the end of the bony external auditory canal. In early otitis media, the membrane is retracted and pink with dilatation of the manubrial and circumferential vessels. Later, as the disease progr...

Tourniquets are an effective means of arresting life-threatening external haemorrhage from limb injury. Their use has not previously been accepted practice for pre-hospital civilian trauma care because of significant concerns regarding the potential complications. However, in a few rare situations tourniquet application will be necessary and life-saving. This review explores the potential probl...

OBJECTIVE To examine the preferred patient approach to chronic suppurative otitis media (CSOM) of the safe type. METHODS We designed a prospective study to note the variables in the patient's initial choice for approach to CSOM of the safe type at Buraidah Central Hospital, Al-Qassim, Saudi Arabia from January 2003 to December 2004. RESULTS During the 24-month study period, we included 63 c...

he frequent occurrence of occult and/or recurrent otitis externa in Pets can give owners the false impression that this disorder is easily managed or cured. Given the numerous possible predisposing and primary causes, it is clear that resolving a case of otitis externa is often more challenging than many Pet owners appreciate. The previous article outlined a diagnostic approach to otitis extern...

The use of headphone has been thought to cause infection in the ear canal and contribute to hearing loss. In this study, we examined 136 Customer Service Representative from Celcom (Malaysia) Sdn. Bhd. who use headphone throughout their working hours. The purpose of this study was to determine the prevalence of ear canal infection and other related diseases of the ear, nose and throat. Their he...

Introduction: Granulomatosis with polyangiitis (GPA; also known as Wegener’s granulomatosis) is a primary systemic vasculitis involving the ear, nose and throat system (ENT) and lower respiratory tract. Because of the lack of knowledge regarding the clinical findings of GPA due to the limited number of studies, the current study was designed to investigate the prevalence and nature of the otolo...

Abdominal wall necrotising fasciitis secondary to fish bone ingestion is extremely rare. We present a case of ingested fish bone complicated with self-sealing small bowel perforation and abdominal wall necrotising fasciitis. Following principles of necrotising fasciitis, a high index of suspicion led to early diagnosis and early treatment. The patient enjoyed a good recovery.