Surgery for Malignant Otitis Externa was used with contentious results in the pre Antibiotic era.Nowadays it is reserved only for cases where medical treatment doesn't arrest the disease leading to complications.
Otherwise it is definitely contraindicated as it is believed to facilitate the spread of the disease.
Personal experience about surgery is disappointing...of the 3 patients being treated now one was subjected to surgery.Lt Ear mastoidectomy...Patient developed HYPOGLOSSAL PALSY and LT. VOCAL CORD PALSY after 2 weeks .Uploading the VDO of the IDL of the said patient.
Note the following things while watching the VDO
1) Deviation of the tongue to LEFT on portrusion
suggesting Lt. Hypoglossal Palsy.
2) Pooling of saliva and food particles in the Lt.
PYRIFORM FOSSA.
3) LT. VOCAL CORD PALSY causing phonatory
gap.
SO THE TAKE HOME MESSAGE..?TREAT THE CONDITION AGGRESSIVELY MEDICALLY ....RESERVE SURGERY FOR THE ADVANCED CASES..
TRULY AMAZING, now take the next step and write a book.
ReplyDeleteDear Rishi,
ReplyDeleteNo need of being so unctous.A dear friend needn't be politically correct.
Anyway I graciousy accept the Compliment in all humility.
Keep following and giving useful suggestions and critical comments.
really nice video sir.the vocal chord palsy and pooling of secretions in the pyriform fossa can be seen very clearly.
ReplyDeleteSir, complication itself speaks about the importance of agressive medical line of treatment!
ReplyDeleteThanx for the video....