one patient had destruction of the external ear , and several had refractory otitis externa , usually associated with otitis media : 3 patients had serous otitis media , 4 had purulent otitis media of a fairly mild course , while 6 had otitis media of a fulminant and long-lasting course , accompanied in 5 cases by cranial nerve palsy and in 2 by widespread destruction .
C0013453
external ear
C0021355
otitis externa