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Mastoidectomy packs: Xeroform® or BIPP?

Published online by Cambridge University Press:  29 June 2007

Elfy B. Chevretton ,
R.D.R. McRae  and
J. B. Booth
Elfy B. Chevretton*
Affiliation:
London
R.D.R. McRae
Affiliation:
London
J. B. Booth
Affiliation:
London
*
Elfy B.Chevretton, M.S., F.R.C.S., Department of ENT Surgery, The Royal London Hospital, Whitechapel, London E1 1BB.
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Abstract

A retrospective study comparing adverse events usin bismuth iodform paraffin paste (BIPP) and Xeroform as dressings for newly fashioned mastoid cavities after mastoidectomy was undertaken. There were 20 patients in each group. Adverse events were defined as offensive packs, mastoid caivity infection and systemic signs of infection. There were no adverse using BIPP packs Whether or not prophylactic antibiotics were used. Xeroform packs were associated with a significantly higher incidence of adverse events compared to BIPP when using on antibiotic porphylaxis (P<0.005) or amoxycillin (P<0.005). Adverse events with Xeroform packs were abolished using ciprofloxacin and metronidazole prophylaxis. We conclude that BIPP is the mastoid dressing of choice.

Keywords

Mastoid surgeryXeroformBIPP
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 11 , November 1991 , pp. 916 - 917
Copyright
Copyright © JLO (1984) Limited 1991

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References

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