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10 Possible Causes for Cranial Nerve Involvement, Malignant Otitis Externa, Thick Facial Skin

  • Otitis Externa

    To date, three cases of petrous ICA pseudoaneurysm have been described as a complication of otogenic infection, including only one secondary to malignant otitis externa.[ncbi.nlm.nih.gov] […] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised[dermnetnz.org] Nine patients had cranial nerve involvement. Twelve of 15 patients treated with medical therapy recovered, as did 11 of 12 patients that underwent surgery.[ncbi.nlm.nih.gov]

  • Acute Otitis Externa

    An alternative name for malignant otitis externa is necrotizing external otitis. If it’s not treated malignant otitis externa can be life-threatening.[healthline.com] […] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised[dermnetnz.org] involvement.[entsho.com]

  • Fungal Otitis Externa

    otitis externa (MOE).[journals.lww.com] […] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised[dermnetnz.org] The facial nerve, Cranial Nerve VII, may be involved and manifests as facial paralysis if the infection spreads to the stylomastoid foramen where CN VII exits the skull.[emdocs.net]

  • Chronic Otitis Externa

    otitis externa H60.20 Malignant otitis externa, unspecified ear H60.21 Malignant otitis externa, right ear H60.22 Malignant otitis externa, left ear H60.23 Malignant otitis[icd10coded.com] […] disease Commonly associated with scalp involvement but rarely with facial involvement Raised, red lesions with thick, silvery-white adherent scale Often pruritic Seborrheic[aafp.org] Multiple cranial nerve palsies can result, including the facial nerve (causing facial palsy), the recurrent laryngeal nerve (causing vocal cord paralysis), [ citation needed[en.wikipedia.org]

  • Abscess of the External Auditory Meatus

    This is called malignant otitis externa.[medbroadcast.com] […] disease Commonly associated with scalp involvement but rarely with facial involvement Raised, red lesions with thick, silvery-white adherent scale Often pruritic Seborrheic[aafp.org] Hemiplegia with cranial nerve involvement Treatment of intracranial complications of chronic suppuration otitis media: 1. Systemic antibiotics to control infection 2.[specialist-ent.com]

  • Insect in the External Auditory Meatus

    Malignant otitis externa April 28, 2015 Christina H. Fang, BS; James Sun, BS; Robert W.[entjournal.com] Ossiculoplasty performed  Tympanic membrane grafted  Meatoplasty  Split thickness skin graft (.006-.008 inches) lines the canal 25.[slideshare.net] Cranial nerve involvement. Positive radiograph. A debilitating underlying condition. Immunosuppression - eg, HIV/AIDS, chemotherapy. Older age.[patient.info]

  • Ear Discharge

    Fungal otitis externa Malignant otitis externaAutor: 18.04.12 15.[slideshare.net] […] may become red, thickened, crusty and hyperpgimented from scratching intense itch Psoriasis Commonly associated with scalp involvement but rarely facial involvement Raised[dermnetnz.org] Cranial nerve involvement. Positive radiograph. A debilitating underlying condition. Immunosuppression - eg, HIV/AIDS, chemotherapy. Older age.[patient.info]

  • Neurofibromatosis Type 6

    Otitis externa may be indicated by discharge at the external meatus or pain on moving the pinna. Mastoiditis may cause mastoid tenderness or fluctuance.[racgp.org.au] Some children with NF1 have distinctive appearance that may include slight generalized increase in pigmentation, facial features such as widely spaced eyes and thick lips,[childneurologyfoundation.org] On occasion, people with NF1 may develop tumors in the brain, on the cranial nerves or involving the spinal cord.[aans.org]

  • Absent Auditory Canals

    AIDS), can also predispose to malignant otitis externa 79.[slideshare.net] The Surgery: Skin Graft A very thin skin graft is generally harvested from the thigh or lower abdomen. This graft is ten 1,000’s of an inch in thickness.[earsurgery.org] Multiple cranial nerve involvements produce many ENT concerns: olfactory, facial, glossopharyngeal and vagus nerves may be involved.[chargesyndrome.org]

  • McPherson-Robertson-Cammarano Syndrome

    Acute or chronic suppurative otitis media. Malignant otitis externa: Pseudomonas infection in diabetic or elderly patients.[entokey.com] […] features with thick lips (6) Loose skin (7) HRAS mutations 4.[circ.ahajournals.org] A pupil-involving third cranial nerve palsy may be a sign of very serious medical conditions and requires immediate attention.[aapos.org]