Lesotites necrosants des diabetiques [ou otites externes malignes] a propos de 8 cas

ABSTRACT

The necrosis otitis of diabetics, which is called malignant external otitis in anglo-saxon literature represents a particular entity. It is a severe infectious complication exclusively due to Pseudomonas aeriginosa which can be associated to other pathogenic germs as the staphylococcus and the enterobacteries gram negatives. This otitis started by the reach of peritemporal soft tissues then it extends following some directions towards the base of the skull; this is the origin of the multiple cranial nerve paralysies, a gathering of pus and sigmoid sinus thrombosis. In spite of the treatment by the heaviest antibiotics and the radical surgery in some cases, the evolution still unfavorable veru often. In deed, almost the half the patients reached of this affection dead in 6 to9 months which follow the diagnosis. The other patients still alive with very embarrassing functional sequelaes. About 8 cases of malignant external otitis, hospitalized and supervised in the service of O.R.L. in the hospital of specialities in rabat during 3 years and a half, we report our experience completed by a big number of oata of modern literature