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A randomized prospective trial to compare four different ear packs following permeatal middle ear surgery

  • H. Zeitoun (a1), G. S. Sandhu (a1), M. Kuo (a2) and M. Macnamara (a3)

Surgeons choice of an ear pack is dictated by availability, previous training and personal preference. There has been no recent prospective study evaluating the use of different types of ear packs. This randomized prospective study compares the use of BIPP impregnated ribbon gauze (Aurum), Pope wicks (Xomed-Teace), silastic sheeting (Dow Corning) and tri-adcortyl ointment (Squibb) as an ear dressing following ‘clear’ middle ear procedures via a permeatal approach. The results showed that there was no statistically significant difference in post-operative pain and discomfort experienced, neither was there any significant difference regarding the otolaryngologist's assessment of the degree of canal granulation, stenosis or discharge with the above named packs. This study concludes that non-traditional dressings such as tri-adcortyl ointment or simply a thin silastic sheet placed on the drum are no worse than time honoured BIPP. They have, as well, the advantage of being well-tolerated by the patients.

Corresponding author
Address for correspondence: Mr. H. Zeitoun, 27 Leacroft Lane, Churchbridge, Cannock, Staffs WS11 3JX.
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Frootko N. G. (1987) Reconstruction of the ear. In Scott-Brown's Otolaryngology. 5th Edition, vol. 3. (Kerr A. G., ed.), Butterworths & Co. Publishers, London, pp 238241.
Jensen M. P., Kardy P., Braver S. (1986) The measurement of clinical pain intensity: a comparison of six methods. Pain 27: 117126.
Jones J. A. H. (1990) BIPP: A case of toxicity? Oral Surgery, Oral Medicine and Oral Pathology 69: 668671.
Le Quesne P. M. (1981) Toxic substances and the nervous system; the role of clinical observation. Journal of Neurology, Neurosurgery and Psychiatry 44: 18.
McRae D., Dilkes M., Kenyon G. (1992) The Pope wick as a myringoplasty ear canal dressing. Journal of Laryngology and Otology 106: 327328.
Nigam A., Allwood M. C. (1990) BIPP - How does it work? Clinical Otolaryngology 15: 173175.
Nigam A., Ruddy J., Robin P. E. (1991) BIPP induced methaemoglobinaemia. Journal of Laryngology and Otology 105: 7879.
Seigel S. (1956) Non-parametric Statistics: for the Behavioural Sciences. McGraw-Hill, Tokyo, pp 184193.
Shea M. C. (1994) Tympanoplasty the undersurface graft technique. In Otologic Surgery, (Backman D. E., Shelton C., Arriago M. A., eds.) W. B. Saunders Company, London, pp 133140.
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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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