{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:17:37Z","timestamp":1771028257558,"version":"3.50.1"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T00:00:00Z","timestamp":1535414400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S002221511800138X_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Necrotising otitis externa is a severe inflammatory process affecting soft tissue and bone, mostly in diabetic patients. Diabetic patients are also at risk of diabetic foot osteomyelitis, another inflammatory condition involving soft tissue and bone. This review aimed to describe the similarities and differences of these entities in an attempt to further advance the management of necrotising otitis externa.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511800138X_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A PubMed search was conducted using the key words \u2018otitis externa\u2019, \u2018necrotising otitis externa\u2019, \u2018malignant otitis externa\u2019, \u2018osteomyelitis\u2019 and \u2018diabetic foot\u2019.<\/jats:p><\/jats:sec><jats:sec id=\"S002221511800138X_sec_a3\"><jats:title>Results and conclusion<\/jats:title><jats:p>The similarities regarding patient population and pathophysiology between necrotising otitis externa and diabetic foot osteomyelitis raise basic questions concerning the effects of long-standing diabetes on the external ear. The concordance between local swabs and bone cultures in diabetic foot osteomyelitis is less than 50 per cent. If this holds true also to necrotising otitis externa, the role of deep tissue cultures should be strongly considered. Similar to diabetic foot osteomyelitis, magnetic resonance imaging should be considered in selected necrotising otitis externa subgroups.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s002221511800138x","type":"journal-article","created":{"date-parts":[[2018,8,28]],"date-time":"2018-08-28T08:49:48Z","timestamp":1535446188000},"page":"775-779","source":"Crossref","is-referenced-by-count":19,"title":["Diagnosis and treatment of necrotising otitis externa and diabetic foot osteomyelitis \u2013 similarities and differences"],"prefix":"10.1017","volume":"132","author":[{"given":"C","family":"Peled","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Kaplan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,8,28]]},"reference":[{"key":"S002221511800138X_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110002550"},{"key":"S002221511800138X_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(88)90592-X"},{"key":"S002221511800138X_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/00365540600978971"},{"key":"S002221511800138X_ref21","doi-asserted-by":"publisher","DOI":"10.1086\/590011"},{"key":"S002221511800138X_ref28","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.004"},{"key":"S002221511800138X_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000563"},{"key":"S002221511800138X_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/BF01971280"},{"key":"S002221511800138X_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880010098023"},{"key":"S002221511800138X_ref29","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-006-0431-0"},{"key":"S002221511800138X_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.02.029"},{"key":"S002221511800138X_ref18","doi-asserted-by":"publisher","DOI":"10.1258\/0022215053222978"},{"key":"S002221511800138X_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2013.03.010"},{"key":"S002221511800138X_ref31","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2012.11.001"},{"key":"S002221511800138X_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(03)00858-2"},{"key":"S002221511800138X_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182804aee"},{"key":"S002221511800138X_ref22","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.73.868.10844873"},{"key":"S002221511800138X_ref23","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813482107"},{"key":"S002221511800138X_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2015.05.017"},{"key":"S002221511800138X_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16727-5"},{"key":"S002221511800138X_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000839"},{"key":"S002221511800138X_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-008-0976-1"},{"key":"S002221511800138X_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2008.11.030"},{"key":"S002221511800138X_ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-5491.2002.00698.x"},{"key":"S002221511800138X_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/cis346"},{"key":"S002221511800138X_ref20","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1214160"},{"key":"S002221511800138X_ref25","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31825e4d9a"},{"key":"S002221511800138X_ref1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196808000-00002"},{"key":"S002221511800138X_ref7","first-page":"155","article-title":"Staphylococcal malignant otitis externa","volume":"126","author":"Bayardelle","year":"1982","journal-title":"Can Med Assoc J"},{"key":"S002221511800138X_ref24","doi-asserted-by":"publisher","DOI":"10.1016\/j.mcna.2013.04.005"},{"key":"S002221511800138X_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2007.10.005"},{"key":"S002221511800138X_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200111000-00035"}],"container-title":["The Journal of Laryngology &amp; 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