Table 2.
Clinical findings on admission, complications, microbiology results, and treatment details of each patient diagnosed with skull base osteomyelitis
| Patient # | Clinical findings on admission | Complications | Culture | Combined parenteral antibiotic therapy | Performed surgery |
|---|---|---|---|---|---|
| 1 | Otalgia, severe headache, polyp in EAC, swollen EAC, TM perforation, otorrhea | Facial nerve paresis meningitis, sepsis | Pseudomonas aeruginosa | Ciprofloxacin, ceftriaxone, clindamycin | Removal of the polyp from the external auditory canal, decompression of the facial nerve, antromastoidectomy, tympanoplasty |
| 2 | Severe headache, otorrhea, TM perforation | Facial nerve paresis | Pseudomonas, Aspergillus flavus | Vancomycin, itraconazole, ciprofloxacin | Radical mastoidectomy |
| 3 | Severe otalgia | – | Negative | Ciprofloxacin | – |
| 4 | Headache, hoarseness, vocal fold palsy, soft palate paresis, otalgia | Vagal nerve and glossopharyngeal nerve paresis | Negative | Ceftriaxone, metronidazole | Parapharyngeal space drainage |
| 5 | Swollen mastoid | – | Negative | clindamycin, amoxicillin and clavulanate acid | – |
| 6 | Otalgia, swollen EAC, swollen mastoid, TM perforation, otorrhea | – | Negative | Amoxicillin and clavulanate acid, metronidazole | Antromastoidectomy, tympanoplasty |
| 7 | Otalgia, reddened TM, swollen mastoid | – | Negative | Ciprofloxacin | – |
EAC external auditory canal, TM tympanic membrane