Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-26T19:04:49.344Z Has data issue: false hasContentIssue false

The radionuclide diagnosis, evaluation, and follow-up of malignant external otitis (MEO)

The value of immediate blood pool scanning

Published online by Cambridge University Press:  29 June 2007

I. Garty*
Affiliation:
Nuclear Medicine, Central Emek Hospital, Afula, Israel
G. Rosen
Affiliation:
Otolaryngology Departments, Central Emek Hospital, Afula, Israel
Y. Holdstein
Affiliation:
Otolaryngology Departments, Central Emek Hospital, Afula, Israel
*
Dr. I. Garty, Head of Niclear Medicine Department, Central Emek Hospital, Afula, 18101Israel

Abstract

A patient suffering from malignant external otitis (MEO) underwent early blood pool scanning followed after 2 hours by 99m To MDP bone scanning, and serial Ga-67 citrate scintigraphies of the skull. The former two procedures served as a diagnostic tool to MEO. The latter was used for estimating the extent of the infective process, and for following-up the efficacy of treatment.

The complementary role of these three procedures in the diagnosis, and follow-up of MEO, with special emphasis on immediate blood pool scanning as part of the diagnostic procedure, is illustrated.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chandler, J. R. (1981) Malignant external otitis. The diagnostic value of bone scintigraphy. Laryngoscope, 91: 960964.Google Scholar
Damiani, J. M., Damiani, K. K., and Kinney, S. E. (1979) Malignant external otitis with multiple cranial nerve involvement. American Journal of Otology, 1: 115120.Google ScholarPubMed
Gelrud, L. G., Arreneaw, J. C., and Johnston, G. S. (1974) The kinetics of Ga-67 incorporation into inflammatory lesions: experimental, and clinical studies. Journal of Laboratory, and Clinical Medicine. 83: 489.Google Scholar
Gilday, D. L., Paul, D. J.,, and Paterson, J. (1975) Diagnosis of osteomyelitis in children by combined blood pool, and bone imaging. Radiology, 117: 331335.CrossRefGoogle ScholarPubMed
Handmaker, H., and Leonard, R. (1976) The bone scan in inflammatory osseous disease. Seminars in Nuclear Medicine. 6: 95105.CrossRefGoogle ScholarPubMed
Jones, A. G., Francis, M. D., and Davis, M. A. (1976) Bone scanning: Radionuclide reaction mechanisms. Seminars in Nuclear Medicine, 6: 318.CrossRefGoogle ScholarPubMed
Kirchner, P. T. (1980) Nuclear Medicine Review Syllabus, p. 431. The Society of Nuclear Medicine Incorporation.Google Scholar
Lisbona, R., and Rosenthal, L. (1977) Observation on the use of sequential Tc 99m phosphate complex and Ga-67 imaging in osteomyelitis, cellulitis and septic arthritis. Radiology. 123: 123129.CrossRefGoogle Scholar
Lucent, F. E., Parisier, S. C., Som, P. M., and Arnold, L. M. (1982) Malignant external otitis: A dangerous misnomer? Otolaryngology, Head and Neck Surgery. 90: 266269.CrossRefGoogle Scholar
Melizer, P., and Kelemen, G. (1959) Pyocyaneous osteomyelitis of the temporal bone, mandible, and zygoma. Laryngoscope, 69: 13001316.CrossRefGoogle Scholar
Mendez, G. (1979) Malignant external otitis: a radiographic clinical correlation. American Journal of Radiology. 132: 957961.Google ScholarPubMed
Ostfeld, E., Aviel, A., and Pelet, D. (1981) Malignant external otitis: The diagnostic value of bone scintigraphy. Laryngoscope, 91: 960964.CrossRefGoogle ScholarPubMed
Ostfeld, E., Segal, M., and Czernobilsky, B. (1981) Malignant external otitis: early histopathologic changes and pathogenic mechanism. Laryngoscope, 91: 950955.CrossRefGoogle ScholarPubMed
Parisier, S. C., Lucente, F. E., Som, P. M., Hirschman, S. Z., Arnold, L. M., and Roffman, J. D. (1982) Nuclear scanning in necrotizing progressive ‘malignant’ external otitis. Laryngoscope, 92: 10161020.CrossRefGoogle ScholarPubMed
Raines, J. M., and Schindler, R. A. (1980) The surgical management of recalcitrant malignant external otitis. Laryngoscope, 90: 369378.CrossRefGoogle ScholarPubMed
Reiter, D., Bilanink, L. T., and Zimmerman, R. A. (1982) Diagnostic imaging in malignant otitis externa. Otolaryngology, Head und Neck Surgery, 90: 606609.CrossRefGoogle ScholarPubMed
Siegal, B. A. (1976) Skeletal update of Tc-99m diphosphonate in relation to bone blood pool flow. Radiology, 120: 121.CrossRefGoogle Scholar
Staab, E. V., and McCarthey, W. H. (1978) Role of Gallium-67 in inflammatory disease. Seminars in Nuclear Medicine, 8: 219234.CrossRefGoogle ScholarPubMed
Strashum, A. M., Nejatheim, M., and Goldsmith, S. J. (1984) Malignant External Otitis: early scintigraphic detection. Radiology, 150: 541545.CrossRefGoogle Scholar
Wilson, D. I., Pulec, J. L., and Linthicum, T. H. (1971) Malignant external otitis. Archives of Otolaryngology, 93: 419422.CrossRefGoogle ScholarPubMed
Zaky, D. A. (1976) Malignant external otitis: a severe form of diabetic patients. American Journal of Medicine, 61: 298302.CrossRefGoogle ScholarPubMed