Skip to main content
    • Aa
    • Aa

Mastoidectomy packs: Xeroform® or BIPP?

  • Elfy B. Chevretton (a1), R.D.R. McRae (a1) and J. B. Booth (a1)

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.
Hide All
Chambers H., Goldsmith J. N. (1917) The bacteriological and chemical action of bisthmuth iodoform paraffin paste. Lancet, i: 333335.
Garrod L. P. (1940) Prevention and treatment of wound infection. Lancet, i: 798802.
Morison R. (1916) The treatment of infected suppurating war wounds. Lancet, ii: 268272.
Nigman A., Allwood M. C. (1990) BIPP—How does it work? Clinical Otolaryngology, 15: 173175.
Saint J. H. (1937) BIPP method of treatment of acute osteitis. Lancet, i: 12111217.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *



Full text views

Total number of HTML views: 0
Total number of PDF views: 5 *
Loading metrics...

Abstract views

Total abstract views: 51 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 19th October 2017. This data will be updated every 24 hours.