Necrotizing External Otitis

Alternate Names : Malignant Otitis Externa, Necrotizing External Otitis

What are the treatments for the infection?

When the infection is found early enough, only antibiotics are needed. The underlying immune system problem needs to be corrected quickly if possible. Hyperbaric oxygen therapy, which uses oxygen at high pressure, often helps to get rid of the infection. If antibiotics and hyperbaric oxygen therapy do not work, then surgery is needed.

What are the side effects of the treatments?

All medicines have possible side effects. Antibiotics may cause allergic reactions or stomach upset. Specific side effects depend on the drugs used.

There are usually no side effects with hyperbaric oxygen therapy. However, special tubes may need to be placed into the eardrums during this procedure.

There is always some risk with surgery. In this case, surgery could result in facial paralysis, dizziness, hearing loss and taste disturbance.

What happens after treatment for the infection?

If treatment is successful, the infection is stopped, and the symptoms resolve. The tissue can then heal.

How is the infection monitored?

If an outer ear infection gets worse and the symptoms do not go away, medical attention is needed. Repeat examinations of the ear may be done until the condition has resolved. Blood and x-ray tests may be used for monitoring in some cases. Any new or worsening symptoms should always be reported to the doctor.