Abstract
An elderly male patient with Malignant Otitis Externa (MOE) and Polyneuritis Cranialis Multiplex (PCM) presented with chronic osteomyelitis of left foot for Ilizarov application. This case represents a classic case of MOE with significant complications. Intra cranially VI, VII, VIII, IX and X cranial nerves were involved and the patient had intervertebral disc prolapse in the cervical and lumbar region with right vocal cord palsy. Considering multiple cranial nerve palsies and multiple lumbar intervertebral disc prolapses we preferred peripheral nerve block for the surgery. This case was successfully managed with ultrasound guided (USG) popliteal nerve and femoral nerve block.
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