Alternative method of application of topical preparations in otitis externa

Dekker, P. J.

doi:10.1017/s0022215100117499

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…Dekker (1991) described sump-lling of ointment by a syringe and suction tip, which provides continuous contact of the medication and does not require frequent reviews. 7,8 However, this reduces hearing temporarily, and staged removal is often necessary.…”

Section: Discussionmentioning

confidence: 99%

Randomized trial on the treatment of oedematous acute otitis externa using ear wicks or ribbon gauze: clinical outcome and cost

2002

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Acute otitis externa is a common condition that can be extremely painful. When there is considerable canal oedema, packing is necessary to facilitate the passage of medication. The experience at the Royal Victoria Eye and Ear Hospital is that ear wicks generally require removal in two to three days by medical staff and can be labour intensive as they often involve serial removals following re-insertions. Alternatively, medicated ribbon gauze is cheap and can be removed by the patient at home. Ear wick and mediated ribbon gauze were investigated by a prospective randomized trial involving 94 patients. Fewer out-patient visits were required for the ribbon gauze group (two vs. three, p<0.0001) with considerably less material and labour costs than the wick group. Similar resolution rates were achieved (70 per cent vs. 64 per cent, p = 0.58). Following development of guidelines, the proportion of otitis externa patient reviews in the accident and emergency department declined from 49 per cent to 36 per cent. Compared with the ear wick, medicated ribbon gauze is a cost-effective method of treating oedematous acute otitis externa.

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Section: Discussionmentioning

confidence: 99%

Randomized trial on the treatment of oedematous acute otitis externa using ear wicks or ribbon gauze: clinical outcome and cost

2002

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“…This treatment entails repeated cleaning of the ear and administration of topical medications administered on various types of packing. An alternative is to perform the aural toilet once and instil into the ear canal or cavity an appropriate amount of antimicrobial/steroid ointment (Dekker, 1991;Barr and Al-Khabori, 1991).…”

Section: Introductionmentioning

confidence: 99%

An alternative to regular dressings for otitis externa and chronic supperative otitis media?

1995

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Otitis externa and chronic otitis media often present to the otolaryngologist with a discharging ear. The conventional method of treatment is to perform regular aural toilet and insert medicated dressings into the external auditory canal. This treatment is either performed by trained nurses or medical staff, but in either case is time consuming.This study compares the efficacy of the above standard regimen with a novel treatment where a single aural toilet is carried out and medicated ointment instilled into the ear. Both regimens were evaluated at three weeks.Our results shows that there was no significant difference between the two treatment regimens with regard to the resolution of either of the conditions studied or the improvement in the symptom status of the patients. On the basis of this it would seem that a single aural toilet and instillation of medicated ointment is a valid treatment option, cuts down hospital attendance and could be performed in the community by general medical practitioners or trained practice nurses.

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NHG-Standaard Otitis externa

Rooijackers-Lemmens¹,

Balen²,

Opstelten³

et al. 2009

NHG-Standaarden Voor De Huisarts 2009

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Alternative method of application of topical preparations in otitis externa

Abstract: Management of otitis externa and the discharging mastoid cavity accounts for a significant proportion of the ENT out-patient workload. A simple technique of topical application of dermatological preparations is described which is easy and effective.

Cited by 6 publications

References 5 publications

Randomized trial on the treatment of oedematous acute otitis externa using ear wicks or ribbon gauze: clinical outcome and cost

Randomized trial on the treatment of oedematous acute otitis externa using ear wicks or ribbon gauze: clinical outcome and cost

An alternative to regular dressings for otitis externa and chronic supperative otitis media?

NHG-Standaard Otitis externa

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