坏死性外耳道炎：一种越来越常见的严重病症。
Necrotising otitis externa: a serious condition becoming more frequently encountered.
作者信息
Eweiss A Z, Al-Aaraj M, Sethukumar P, Jama G
机构信息
ENT Department, Barking Havering and Redbridge University Hospitals, London, UK.
ENT Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
出版信息
J Laryngol Otol. 2021 Nov 25:1-5. doi: 10.1017/S0022215121003819.
BACKGROUND
Necrotising otitis externa is an aggressive infection of the external ear, which extends to the surrounding bone and soft tissue. In recent years, there has been an apparent increase in the number of patients admitted to our hospital with this condition.
METHODS
A retrospective review was conducted of all patients admitted to our hospital with necrotising otitis externa between July 2012 and June 2020.
RESULTS
Among 39 patients included, only 9 were diagnosed in the first four years, and 30 were diagnosed in the last four years. There were 27 males and 12 females, and the mean age was 78.7 years. There were six non-diabetic immunocompetent patients. Cranial nerve palsies developed in 50 per cent of the patients. Disease-related mortality was 7.7 per cent. A favourable outcome was recorded in 66.7 per cent of the patients.
CONCLUSION
Necrotising otitis externa is associated with high morbidity and mortality. The incidence of the disease is rising in our local geographical area.
背景
坏死性外耳道炎是一种侵袭性外耳道感染，可蔓延至周围骨骼和软组织。近年来，我院收治的此类患者数量明显增加。
方法
对2012年7月至2020年6月期间我院收治的所有坏死性外耳道炎患者进行回顾性研究。
结果
纳入的39例患者中，仅9例在最初四年被诊断出，30例在最后四年被诊断出。男性27例，女性12例，平均年龄78.7岁。有6例非糖尿病免疫功能正常患者。50%的患者出现颅神经麻痹。疾病相关死亡率为7.7%。66.7%的患者预后良好。
结论
坏死性外耳道炎与高发病率和死亡率相关。在我们当地地区，该疾病的发病率正在上升。
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