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恶性外耳炎,系指外耳道进行性、坏死性病变,井向邻近软组织、软骨、神经及骨组织蔓延,应用一般治疗方法不能奏效,顽固不愈,严重者可致死亡。1959年Meltzer & Kelemen曾报告类似恶性外耳炎之病例,并认为此种感染为绿脓杆菌所致,其颞骨板障骨广泛受累,并可累及多数脑神经,但当时氏等并未确切给予命名。1968年Chandler首次以恶性外耳炎为题,发表其论著,其后又陆续报道了较多的病例。近年来,有关本病的报道日多。本文兹就其病因、病理、临床表现、诊断以及治疗等方面有关问题加以综述。【发病情况】最初,学者们曾一度认为本病仅发生于老年人和糖尿病患者,近年来,有文献
Malignant otitis externa, which refers to the external auditory meatus, necrotic lesions, well to the adjacent soft tissue, cartilage, nerve and bone tissue spread, the application of general treatment does not work, stubborn, in severe cases can cause death. In 1959, Meltzer & Kelemen reported similar cases of malignant otitis externa and described the infection as Pseudomonas aeruginosa with extensive involvement of the temporal bone bones and involvement of most cranial nerves, but at that time the names were not given exactly . 1968 Chandler for the first time in the title of malignant otitis media, published his treatise, and subsequently reported more cases one after another. In recent years, there are many reports about this disease. This article on its etiology, pathology, clinical manifestations, diagnosis and treatment of other issues are reviewed. 【Incidence】 Initially, scholars once thought that the disease occurred only in the elderly and diabetic patients, in recent years, there are literature