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A contemporary overview on the enigma of managing recalcitrant or intractable post-operative otorrhoea following middle-ear surgery: perspectives, principles and practices

Published online by Cambridge University Press:  24 March 2022

A Kumar Pandey ,
S Hernot Open the ORCID record for S Hernot [Opens in a new window] ,
A ul Haq ,
C Bansal Open the ORCID record for C Bansal [Opens in a new window] ,
M Kaintura ,
A Bhardwaj ,
A Varma ,
F Anjum  and
A Kumawat
A Kumar Pandey
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
S Hernot
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
A ul Haq
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
C Bansal*
Affiliation:
Department of ENT, Satya Pal Wahi ONGC Hospital, Dehradun, India
M Kaintura
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
A Bhardwaj
Affiliation:
Department of Pathology, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
A Varma
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
F Anjum
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
A Kumawat
Affiliation:
Department of ENT, Shri Guru Ram Rai Institute of Medical Sciences, Dehradun, India
*
Author for correspondence: Dr C Bansal, Department of ENT, Satya Pal Wahi ONGC Hospital, Dehradun, Uttarakhand, India E-mail: [email protected]
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Abstract

Background

A common problem in otological surgeries is the persistence of ear discharge in a patient who has undergone middle-ear reconstructive surgery, despite an intact graft. There is a dearth of knowledge in the literature on treatment strategies in such post-operative cases of recalcitrant otorrhoea.

Method

This was a retrospective observational descriptive study conducted on 45 patients who fitted the criteria for recalcitrant post-operative otorrhoea. All 45 patients showed no response to conservative treatment for 14 days from onset of discharge. Therefore, these patients were then given antiseptic ear drops.

Results

Thirty patients out of 45 showed a good response to antiseptic ear drops and achieved a dry ear at the end of the treatment.

Conclusion

In patients with recalcitrant otorrhoea with or without granulations after middle-ear reconstruction surgery, this study found that topical antiseptic ear drops, particularly those using boric acid powder, are more effective than topical antibiotic drops.

Keywords

Chronic Suppurative Otitis MediaPersistent OtorrhoeaMiddle Ear SurgeryAntiseptic Ear DropsPovidone-IodineAcetic AcidGentian VioletBorospiritBoric Acid Powder
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 6 , June 2022 , pp. 505 - 513
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr C Bansal takes responsibility for the integrity of the content of the paper

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