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European Archives of Oto-Rhino-Laryngology

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01-04-2021 | Ciprofloxacin | Otology

Outcome of surgery for chronic suppurative otitis media with resistant Pseudomonas aeruginosa

Authors: O. Cavel, O. J. Ungar, Y. Oron, R. Ben Ami, M. Dekel, O. Handzel

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2021

Abstract

Objective

To assess the effectiveness of surgical treatment of active chronic suppurative otitis media (CSOM) with ciprofloxacin-resistant Pseudomonas aeruginosa (P. aeruginosa) that failed comprehensive local and systemic treatment.

Study design

Retrospective case review.

Setting

Tertiary referral center.

Patients

Eleven patients with ciprofloxacin-resistant P. aeruginosa CSOM that remained active despite comprehensive local and systemic treatment. All patients were operated by a single surgeon between February 2016 and July 2019

Intervention(s)

Tympanoplasty alone was performed in seven cases and accompanied by mastoidectomy in the other four cases.

Main outcome measure(s)

Resolution of infection and tympanic graft take on otoscopy. The secondary outcome measure is hearing.

Results

Tympanic graft take was successful and the infectious process was resolved in 8 out of the 11 cases, yielding a success rate of 73%. The average follow-up was 20 months. No surgical complications occurred.

Conclusions

Tympanoplasty, with or without mastoidectomy, is safe and yields acceptable anatomical and functional success rates when intensive local and systemic treatment fails to stop the purulent discharge.

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Title: Outcome of surgery for chronic suppurative otitis media with resistant Pseudomonas aeruginosa
Authors: O. Cavel
O. J. Ungar
Y. Oron
R. Ben Ami
M. Dekel
O. Handzel
Publication date: 01-04-2021
Publisher: Springer Berlin Heidelberg
Keywords: Ciprofloxacin
Cholesteatoma
Mastoidectomy
Antibiotic
Tympanoplasty
Draining Ear
Pseudomonas Aeruginosa
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2021
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-06152-y

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Outcome of surgery for chronic suppurative otitis media with resistant Pseudomonas aeruginosa

Abstract

Objective

Study design

Setting

Patients

Intervention(s)

Main outcome measure(s)

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

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Main outcome measure(s)

Results

Conclusions

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