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Synchronous Occurrence of Bilateral Malignant Otitis Externa: Report of a Rare Case
Lamry Nur Adillah,Misron Khairunnisak,Tengku Kamalden Tengku Mohamed Izam,Aziz Azliana,Salim Rosdan 대한가정의학회 2021 Korean Journal of Family Medicine Vol.42 No.6
Malignant otitis externa (MOE) is a rare and potentially life-threatening disease of the ear and temporal bone. Bilat-eral simultaneous MOE is extremely rare. Due to bilaterally symmetrical facial nerve palsy, it can easily be missed at the initial presentation, causing delay in management. Here, we report a case of bilateral MOE managed aggres-sively with regular ear toileting, ear packing with a ribbon gauze soaked with topical antimicrobials, and long-term intravenous and oral antibiotics. The patient showed good improvement in pain control, facial nerve status, and ear findings.
Mohd Normani Zakaria,Nor Haniza Abdul Wahat,Zuraida Zainun,Nurul Syarida Mohd Sakeri,Rosdan Salim 대한청각학회 2020 Journal of Audiology & Otology Vol.24 No.2
The present study aimed to determine the test-retest reliability of subjective visual horizontal (SVH) testing when tested with solid and dotted line images. In this repeated measures study, 36 healthy young Malaysian adults (mean age=23.3±2.3 years, 17 males and 19 females) were enrolled. All of them were healthy and had no hearing, vestibular, balance, or vision problems. The SVH angles were recorded from each participant in an upright body position using a computerized device. They were asked to report their horizontality perception for solid and dotted line images (in the presence of a static black background). After 1 week, the SVH procedure was repeated. The test-retest reliability of SVH was found to be good for both solid line [intraclass correlation (ICC)=0.80] and dotted line (ICC=0.78). As revealed by Bland-Altman plots, for each visual image, the agreements of SVH between the two sessions were within the clinically accepted criteria (±2°). The SVH testing was found to be temporally reliable, which can be clinically beneficial. Both solid and dotted lines in the SVH testing are reliable to be used among young adults.