Author/Editor		Zupančič, Janez; Žargi, Miha; Battelino, Saba
Title		Otitis eksterna maligna - razvoj zdravljenja na kliniki za otorinolaringologijo in cervikofacialno kirurgijo v Ljubljani
Translated title		Otitis externa maligna - development of the treatment at department of otorhinolaryngology and cervicofacial surgery, Ljubljana
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. Suppl 6
Publication year		1996
Volume		str. 1-7
Language		slo
Abstract		Otitis externa maligna is a rare, but aggressive and often difficult to control, potentially fatal inferction of the meatus acusticus externus. At tthe Department of Otorhinolaryngoloty and Cervicofacial Surgery, Medical Center, Ljubljana, 18 patients were treated in the period 1973-1996, of which 17 were cured and one fatility was recorded. Because of the potentially severe complications, a correct and early diagnosis of the disease is of paramount importance for the outcome. New insights into the pathogenesis of otitis externa maligna made it possible to employ more successful methods in the treatment of the disease. At the Department of Otorhinolaryngology and Cervicofacial Surgery, Medical Centre, Ljubljana with considreations of our own clinical experience we employed these new approaches in the diagnosis and therapy of otitis externa maligna very early and successfully. While at the beginning a radical surgical approach alone was considered appropriate, this approach was soon superseded by a combination of surgical and systemic antibiotic therapy. Today a therapy of systemic and topical application of fluoroquinolones is the therapy of choice.
Summary		Otitis eksterna maligna je sicer redka, a nevarna, pogosto neukrotljiva okužba zunanjega sluhovoda, ki lahko povzroči smrt. Na Kliniki za otorinolaringologijo in cervikofacialno kirurgijo Kliničnega centra v Ljubljani smo od leta 1973 do 1996 zdravili 18 bolnikov z otitis eksterna maligna, od teh jih je 17 ozdravelo, eden pa je umrl. Zaradi zapletov, ki jih povzroča otitis eksterna maligna, je pomembno zgodnje odkrivanje bolezni in primarno zdravljenje. Skladno s spoznavanjem nastanka in razvoja te bolezni so se razvijali tudi novi načini zdravljenja. Na kliniki smo z upoštevanjem lastnih kliničnih izkušenj in podatkov iz literature hitro sledili razvoju novih diagnostičnih in terapevtskih pristopov k tej bolezni. Sprva je bilo v osprednju energično kirurško zdravljenje, temu je sledilo obdobje, kjer sta imeli kirurško in sistemsko antibiotično zdravljenje enak pomen. Danes pa velja za nujspešnejšo metodo čimbolj konzervativno, torej predvsem antibiotično zdravljenje, kjer lokalno in sistemsko uporabljamo fluorirane kinolonske kemoterapevtike.
Descriptors		OTITIS EXTERNA PSEUDOMONAS AERUGINOSA ANTIBIOTICS