A El-Seifi, B Fouad (El-Fayrouz and Egypt Air Hosps, Cairo; Benha Faculty of Medicine, Egypt)
Long-term Fate of Plastipore in the Middle Ear
ORL J Otorhinolaryngol Relat Spec 60:198-201, 1998.
This is a study of four patients who had Plastipore prosthesis removed during revision surgery, where the removed material was evaluated macroscopically and histologically.
Long-term follow-ups demonstrate that plastipore is an acceptable alternative to bone for ossiculoplasty.
TO Hester, RO Jones, (Univ of Kentucky, Lexington)
Prophylactic Antibiotics in Surgery for Chronic Ear Disease.
Laryngoscope 108:1334-1337, 1998.
This is a randomized, prospective study of 146 patients comparing a group who received IV antibiotics followed by oral antibiotics for 5 days postoperatively, with a group that did NOT receive antibiotics.
Results indicated that the treatment and control groups did not differ in their incidence of postoperative infection or graft survival.
The authors stress that meticulous aseptic and surgical techniques are essential along with attention to eradicating all diseased tissue.
However, antibiotics have, on several occasions, helped in dealing with superimposed bacterial infection. An acute exacerbation of a chronic problem can be ameliorated in part by the use of antibiotics in patients with chronic otitis media and mastoiditis.
Khafif A, D Halperin, I Hochman, et al (Kaplan Med Ctr, Rehovot, Israel)
Acute Mastoiditis: A 10-Year Review.
Am J Otolaryngol 19: 170-173, 1998.
Parenteral antibiotics have now almost replaced mastoidectomy in the treatment of acute mastoiditis.
The authors summarize the clinical manifestations, treatment and results of treatment in 134 patients treated between 1985 and 1994.
Parenteral antibiotics, a wide myringotomy and later aspiration of pus for subperiosteal abscess were the basis of conservative treatment.
86% patients recovered after antibiotic therapy alone. Twelve patients required a second course of antibiotics.
Only eight patients required cortical mastoidectomy. Antibiotic treatment, with early aspiration of subperiosteal abscesses shortens hospital stay and reduces the need for surgery.