Malignant (necrotizing) externa otitis: the... (2019 study) Skip to main content
Clinical Guideline European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - 2019

Malignant (necrotizing) externa otitis: the experience of a single hyperbaric centre.

Amaro CE, Espiney R, Radu L, Guerreiro F, European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - , 2019

Tier 2, Indexed

Automatically imported from PubMed based on relevance criteria.

Summary

What Researchers Did

Doctors at one hyperbaric centre reviewed the records of patients treated with hyperbaric oxygen therapy (HBOT) for malignant otitis externa, a serious ear infection that can spread to nearby bone.

What They Found

This retrospective review of 16 patients treated between 1998 and 2016 found that all patients were disease-free after treatment and no patients died from the infection. Most patients had advanced disease at referral (53% stage 4), and seven patients (43.75%) had facial nerve palsy. Patients received an average of 33 HBOT sessions. The study also found that the time from starting HBOT to cure was significantly shorter than the time patients had already spent in hospital before starting HBOT (p equals 0.028).

Canadian Relevance

No direct Canadian connection identified.

Study Limitations

This was a small, single-centre retrospective study with no control group, so it cannot prove that HBOT itself caused the disease-free outcomes.

This plain-language summary was generated with AI assistance from the study's abstract; it has not been individually reviewed by a clinician. Always consult the source study and a qualified healthcare professional. See our editorial policy.

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Study Details

Study Type Clinical Guideline
Category Infection
Source Pubmed
PubMed ID 31165255
Year Published 2019
Journal European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology -
MeSH Terms Aged; Anti-Bacterial Agents; Combined Modality Therapy; Ear, External; Female; Humans; Hyperbaric Oxygenation; Male; Middle Aged; Necrosis; Otitis Externa; Patient Acuity; Portugal; Retrospective Studies; Treatment Outcome

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Disclaimer: This study summary is provided for informational and educational purposes only. It does not constitute medical advice. The information presented reflects the findings of the original research authors and may not represent the views of Canada Hyperbarics. Always consult a qualified healthcare professional before making treatment decisions.

Last updated: April 1, 2026 | Reviewed by: Canada Hyperbarics Editorial Team | Editorial process | Research sources | Counts & methodology