Case Report

A Rare Case of Fungal Necrotising Otitis Externa Centred on the Left Temporomandibular Joint

Table 1

Diagnostic criteria of NOE adapted from Cohen & Friedman.

Obligatory (major criteria)Occasional (minor criteria)

PainPseudomonas in culture
ExudateDiabetes mellitus
OedemaElderly
GranulationsCranial neuropathies
Micro abscesses (when operated)Positive radiograph
Positive technetium-99 bone scan of failure of local treatment after more than 1 weekDebilitating conditions

All obligatory criteria must be met for diagnosis to be made.