Malignant otitis externa is an aggressive and potentially life threatening infection of the soft tissues of the external ear and surrounding structures, quickly spreading to involve the periosteum and bone
A.Evaluation: cardiovascular and respiratory stability, neurological status, facial nerve function, direction of nystagmus, cerebrospinal fluid leak. B. Radiological evaluation: high resolutin computer tomography, contrast CT,MRI if ontracranial injury is suspected,
This wall is of most significance to the otorhinolaryngologist because of its proximity to the para nasal sinuses. . It is composed of : The frontal process of maxilla The lacrimal