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    Ashraf, N. and Capper, R. 2013. Should we still be using bismuth iodoform paraffin paste-impregnated gauze as an ear canal dressing following ear surgery?. Clinical Otolaryngology, Vol. 38, Issue. 4, p. 357.

    Coulson, C J Pothier, D D Lai, P and Rutka, J A 2012. Bismuth iodoform paraffin paste hypersensitivity reactions in mastoid cavities following isolation of mucosal lining: a series of 587 patients. The Journal of Laryngology & Otology, Vol. 126, Issue. 03, p. 240.

    Crossland, G J and Bath, A P 2011. Bismuth iodoform paraffin paste: a review. The Journal of Laryngology & Otology, Vol. 125, Issue. 09, p. 891.

    Al Hail, A. and Al Qahtani, A. 2010. Allergic Reaction to Bismuth-lodoform-Paraffin Paste (BIPP) Following Ear Surgery. Qatar Medical Journal, Vol. 2010, Issue. 1, p. 20.

    Ovaska, Hanna Wood, David M. House, Ivan Dargan, Paul I. Jones, Alison L. and Murray, Shona 2008. Severe iatrogenic bismuth poisoning with bismuth iodoform paraffin paste treated with DMPS chelation. Clinical Toxicology, Vol. 46, Issue. 9, p. 855.

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Mastoidectomy packs: Xeroform® or BIPP?

  • Elfy B. Chevretton (a1), R.D.R. McRae (a1) and J. B. Booth (a1)
  • DOI:
  • Published online: 01 June 2007

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.

Corresponding author
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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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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