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A randomized prospective trial to compare four different ear packs following permeatal middle ear surgery

Published online by Cambridge University Press:  29 June 2007

H. Zeitoun ,
G. S. Sandhu ,
M. Kuo  and
M. Macnamara
H. Zeitoun*
Affiliation:
Department of Otolaryngology, North Staffordshire Hospital, Stoke on Trent, Birmingham, U.K.
G. S. Sandhu
Affiliation:
Department of Otolaryngology, North Staffordshire Hospital, Stoke on Trent, Birmingham, U.K.
M. Kuo
Affiliation:
Department of Surgery, Birmingham Heartlands Hospital, Birmingham, U.K.
M. Macnamara
Affiliation:
Department of Otolaryngology, Birmingham Heartlands Hospital, Birmingham, U.K.
*
Address for correspondence: Mr. H. Zeitoun, 27 Leacroft Lane, Churchbridge, Cannock, Staffs WS11 3JX.
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Abstract

Surgeons choice of an ear pack is dictated by availability, previous training and personal preference. There has been no recent prospective study evaluating the use of different types of ear packs. This randomized prospective study compares the use of BIPP impregnated ribbon gauze (Aurum), Pope wicks (Xomed-Teace), silastic sheeting (Dow Corning) and tri-adcortyl ointment (Squibb) as an ear dressing following ‘clear’ middle ear procedures via a permeatal approach. The results showed that there was no statistically significant difference in post-operative pain and discomfort experienced, neither was there any significant difference regarding the otolaryngologist's assessment of the degree of canal granulation, stenosis or discharge with the above named packs. This study concludes that non-traditional dressings such as tri-adcortyl ointment or simply a thin silastic sheet placed on the drum are no worse than time honoured BIPP. They have, as well, the advantage of being well-tolerated by the patients.

Keywords

SurgeryearEaracheEar canalBiological dressings
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 2 , February 1998 , pp. 140 - 144
Copyright
Copyright © JLO (1984) Limited 1998

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