Treatment of Malignant Otitis Externa

•Glucose control

•Aural toilet

•Ototopic and Systemic Antibiotics:

Ciprofloxacin (oral)
Ceftazidime (iv)
Piperacillin/Ticarcillin +/- Gentamicin in severe/resistant cases

•Hyperbaric O2 therapy: in complicated/recurrent cases

•Surgery restricted for local debridement, bone sequestrum removal, abscess drainage etc