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ORIGINAL ARTICLE
Year : 2019  |  Volume : 8  |  Issue : 1  |  Page : 29-32

Role of Betadine irrigation in chronic suppurative otitis media: Our experiences in a tertiary care teaching hospital of East India


1 Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
2 Department of Community Medicine, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
3 Department of Medical Research Laboratory, IMS and SUM Hospital, Siksha “O” Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India

Correspondence Address:
Prof. Santosh Kumar Swain
Department of Otorhinolaryngology, IMS and SUM Hospital, K8, Kalinga Nagar, Bhubaneswar - 751 003, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijhas.IJHAS_13_18

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BACKGROUND: Chronic suppurative otitis media (CSOM) is persistent and insidious disease of the middle ear cleft characterized by otorrhea, permanent perforation of the tympanic membrane, and hearing loss. It is one of the most common bacterial infections in otolaryngology. OBJECTIVE: The objective is to find out an appropriate medical treatment for CSOM patients. The effect of diluted Betadine irrigation along with systemic antibiotic in CSOM and consider the most appropriate medical treatment.. MATERIALS AND METHODS: This study was a prospective study and done from 2015 to 2017 in patients with tubotympanic type of CSOM where 600 such patients were participated in this study and randomly divided into two groups. One group was treated with diluted povidone Betadine aural toileting whereas another group only with topical and systemic antibiotics. RESULTS: In Group A, otorrhea resolution was seen in 86%, and healing of the perforation was noted in 28% cases in the group treated with regular aural Betadine toileting. In Group B, those were treated with only topical and systemic antibiotic, 65% of the patients show otorrhea resolution, and 15% achieved healing of the perforation. CONCLUSION: Aural toileting and irrigation with diluted Betadine are a desirable and well accepted compared to topical and oral antibiotics.


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