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Ear packing after ear surgery: is it really necessary?

Published online by Cambridge University Press:  12 October 2007

Abstract

Objective:

We question the need for packing of the ear canal after ear surgery. For several years, it had not been the first author's standard practice to use post-operative ear packing. During this period, few problems or complications had been encountered.

Setting:

Tertiary referral, academic, paediatric hospital.

Materials and methods:

A retrospective review of all children who had undergone major ear surgery in our unit over the last year was carried out. These cases represented a full range of otological procedures. Post-operative complications and infections in the first six post-operative weeks were recorded.

Results:

A total of 135 ears were operated upon in 107 patients ranging in age from 11 months to 19 years (mean 9.5 years). During this time period, eight children (7.5 per cent) developed a post-operative ear infection. No cases of tympanic or meatal granulations, problems with the tympanomeatal flap, or meatal stenosis were encountered. All infections were successfully managed with topical antibiotics.

Discussion:

We conclude that packing after ear surgery may be safely abandoned. This would not only save valuable operating time, but would also obviate the need for pack removal, always a source of discomfort and anxiety. This is especially important in children, who may subsequently require a further general anaesthesia in order to remove the pack.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Zeitoun, H, Sandhu, GS, Kuo, M, Macnamara, M. A randomized prospective trial to compare four different ear packs following permeatal middle ear surgery. J Laryngol Otol 1998;112:140–4CrossRefGoogle ScholarPubMed
2 Nakhla, V, Takwoingi, YM, Sinha, A. Myringoplasty: a comparison of bismuth iodoform paraffin paste gauze pack and tri-adcortyl ointment ear dressing. J Laryngol Otol 2007;121:329–3210.1017/S0022215106002660CrossRefGoogle ScholarPubMed
3 Lim, PV, Hughes, RG, Oates, J. Hypersensitive allergic reactions to bismuth-iodoform-paraffin paste following ear surgery. J Laryngol Otol 1998;112:335–7CrossRefGoogle ScholarPubMed