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Doctor insights on: Necrotizing Malignant External Otitis

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What is otitis media vs otitis externa?

What is otitis media vs otitis externa?

MiddleEar&Ear Canal: Otitis Media is the infection in the middle ear behind the ear drum Otitis Externa is infection in the ear canal leading to the ear drum ...Read more

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Malignant (Definition)

The term “malignant” is mainly used in the context of cancer, but can also be used to describe a condition that can be acutely damaging to the body, ...Read more


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What is malignant otitis?

Severe Ear Ache!: Malignant otitis media is a term for a severe ear infection, manifested by intense pain --sometimes externa, due to swimmer's ear; or often a middle ear infection. If swimmer's ear, antibiotic drops plus oral antibiotics are needed. If only a severe middle ear infection then only oral antibiotics with pain management. Make sure to follow up to be certain of appropriate treatment! ...Read more

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What is necrotizing fasciitis versus necrotizing soft tissue infection?

What is necrotizing fasciitis versus necrotizing soft tissue infection?

Only terminology!: Fasciitis means inflammation of fascia, which is the "gristle" that exists around and between muscle layers. Soft tissue is a general term for non-bony body parts. Necrotizing fasciitis is slightly more specific than necrotizing soft tissue infection, but nf imputes infection whereas nsti implicitly states "infection." both are the same and require nasty bacteria killing tissues unchecked! ...Read more

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How dangerous is serous otitis media?

How dangerous is serous otitis media?

Nothing specific: Serous otitis starts as normal fluid made on the walls of the middle ear that fails to exit through the eustachian and the throat. Any structural, irritant, allergic or infectious process that causes the eustachian tube to swell can trigger this. It can last for weeks or months before resolving. It could become secondarily infected and become a true ear infection requiring antibiotics. ...Read more

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Acute otitis media or otitis media w/ effusion, what to do?

Acute otitis media or otitis media w/ effusion, what to do?

Two different cond..: Acute otitis media often requires antibiotic treatment especially in young children. Otitis media with effusion can be transient, however, persistent (over 12 weeks) one with significant hearing loss requires "tube" for proper drainage. ...Read more

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Is otitis media painful?

Is otitis media painful?

Yes: Often otitis media is painful due to the pressure build up in the middle ear from the infection. ...Read more

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Can recurring otitis media be cured?

Yes: I wonder if infant experiences simply a recurring or frequent ear infection or if infant carries a persistent middle ear effusion between the bouts of infection. The latter is often the case requiring tympanostomy "tubes.". ...Read more

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Can recurring otitis media be cured by ear tubes?

Can recurring otitis media be cured by ear tubes?

Not cured.: Recurrent otitis media implies chronic issues with the eustachian tube. In these cases, particularly if there is hearing loss +/- chronic middle ear fluid, ventilating tubes (ear tubes) may be recommended. Tubes bypass a dysfunctional eustachian tube and allow better air exchange in and out of the middle ear, which is implicated in recurrent ear infections. ...Read more

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Is unilateral serous otitis media in an adult a concern?

Is unilateral serous otitis media in an adult a concern?

Not: "SERIOUS" but should be treated to avoid hearing loss. It can be treated with a combination of nasal spray and oral decongestants! Hope this helps! Dr Z ...Read more

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CTscan inflammatory soft tissue middle ear partially surrounding the auditory ossicles extends in2 Prussak's space. Meaning? What's Prussak's space?

CTscan inflammatory soft tissue middle ear partially surrounding the auditory ossicles extends in2 Prussak's space. Meaning? What's Prussak's space?

Ear infection: Prussacs space is the area of thin tympanic membrane at the neck of the malleus. In early infections it is an area of retraction. Over time inflammatory tissue can expand and cause chronic problems in the ear. Office exam with microscope can easily monitor that area without the necessity of CT scan. Rarely chronic drainage and infection marks the development of cholestetoma ...Read more

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What is difference between otitis externa and otitis media clinically?

What is difference between otitis externa and otitis media clinically?

Pain on touch: if the ear is painful to external touch, it is most likely otitis externa. Also the outside ear may be red and swollen ...Read more

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What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)

What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess?  Perforation? Diverticulitis? Stage 2a (t3nomo)

Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read more

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Could otitis media (ear infection) go without being treated?

Could otitis media (ear infection) go without being treated?

Like before 1940 ?: Some viral ear infections self heal in 2-4 day. Bacterial infections tend to persist and may lead to real complications. Infants need an early eval.If older if not better after 3-4 days, an evaluation and treatment is advised.Prior to antibiotics, hearing loss due to chronic middle ear disease was not uncommon and a significant complication called mastoiditis requires surgical drainage. ...Read more

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Benign serous cystadenoma on ovary can turn into borderline cancer or frank malignancy?

Benign serous cystadenoma on ovary can turn into borderline cancer or frank  malignancy?

Yes possible: It is possible longstanding cystadenoma some times can transform to malignant cystadenoma , pathologically it is cancer or not a cancer , pathologist will never describe as borderline cancer. ...Read more

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What's the treatment for malignant cutaneous adnexal tumori?

What's the treatment for malignant cutaneous adnexal tumori?

Excision: Excision of the skin tumor by a surgeon with wide negative margins is the treatment for most malignant adnexal tumors. Many have propensity for local recurrence (regrow in the same place) with more extensive tissue damage, so it is best to remove them entirely early on in the course of the disease. ...Read more

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Is there anything i can do about acute otitis media or otitis media w/ effusion?

Is there anything i can do about acute otitis media or otitis media w/ effusion?

Some self heal: In the years before antibiotics people had ear infections ; just toughed them out. It often took 6-8 weeks for the body to clear the infection.Pain control with heat, Ibuprofen or Acetaminophen can help.Some viral infections disappear in a few days without help.However, some infections can become chronic, abscess the bone near the ear and need to be surgically drained. Infants should see their doc. ...Read more

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Who suffers from acute otitis externa?

Who suffers from acute otitis externa?

Anybody: Anybody can. People who get water in their ear repeatedly are at slightly higher risk of oe which is why it is sometimes called swimmer's ear. ...Read more