Present administration of necrotising otitis externa within the UK: survey of 221 UK otolaryngologists.
Acta Otolaryngol. 2017 Aug;137(eight):818-822
Authors: Chawdhary G, Pankhania M, Douglas S, Bottrill I
INTRODUCTION: Necrotising otitis externa (NOE) is a uncommon an infection inflicting cranium base osteomyelitis. The proof relating to NOE consists largely of case collection. Therefore, there’s a restricted proof base to information decision-making. This survey goals to report the expertise of 221 otolaryngologists on this situation.
MATERIALS AND METHODS: Web survey administered to the membership of the British Affiliation of Otorhinolaryngology – Head and Neck Surgical procedure (ENT UK).
RESULTS: Respondents’ detailed replies on analysis, remedy and comply with up are introduced. One third of respondents reported rising incidence of NOE. Over 80% recognized NOE primarily based on pre-existing threat components, extreme ache, non-resolution of an infection and CT scan. Most respondents managed NOE with intravenous antibiotics (90%) and blood sugar management (82%). There was much less settlement in sure features of administration together with the position of surgical procedure and the character and period of comply with up.
CONCLUSIONS: Our survey gives an image of NOE administration within the UK. Whereas there’s consensus in some features of NOE administration, different features appeal to broadly differing solutions. This will likely mirror the shortage of sturdy proof within the literature. Future work ought to goal to deal with this.
PMID: 28301961 [PubMed – indexed for MEDLINE]