Research Article

Temporal Bone Osteomyelitis: The Relationship with Malignant Otitis Externa, the Diagnostic Dilemma, and Changing Trends

Table 1

Comparison among group 1, group 2, group 2-only patients without previous operation (group 2 without op), and group 2-only patients with previous operation (group 2 with op).

Group 1 ( ) Group 2 ( ) Group 2 without op ( ) Group 2 with op ( ) Significance
Group 1 versus group 2Group 1 versus group 2 without opGroup 1 versus group 2 with opGroup 2 without op versus group 2 with op

Clinical features
 Age (mean ± SD), years 0.4540.0440.3510.021
 Gender (M/F)13/721/1415/56/90.7790.7310.1820.080
 Diabetes19 (95.0%)16 (45.7%)12 (60.0%)4 (26.7%)<0.0010.020<0.0010.087
 Previous surgery0 (0%)15 (42.9%)0 (0%)15 (100%)<0.001
 Otalgia (pain)19 (95.0%)22 (62.9%)19 (95.0%)3 (20%)0.0101.000<0.001<0.001
 Otorrhea (exudate)18 (90%)30 (85.7%)16 (80.0%)14 (93.3%)1.0000.6611.0000.365
 Otitis externa (swelling)20 (100%)16 (45.7%)14 (70.0%)2 (13.3%)<0.0010.020<0.0010.069
 Granulation over EAC16 (80%)11 (31.4%)9 (45.0%)2 (13.3%)0.0010.048<0.0010.002
 CN involvement4 (20%)5 (14.3%)5 (25.0%)1 (6.7%)0.7091.0000.6800.672
Microbiology
P.  aeruginosa 11 (55%)9 (25.7%)9 (45.0%)0 (0%)0.0430.7520.0010.004
 MRSA5 (25%)14 (40.0%)7 (35.0%)7 (46.7%)0.3780.7310.2820.511
 Negative culture2 (10%)3 (8.6%)1 (5.0%)2 (13.3%)1.0001.0001.0000.565

Bold type denotes statistically significant difference ( ).