Ciprofloxacin Otic drops for prevention of Otorrhoea following myringotomy and ventilation tube insertion among children

الملخص EN

This study aimed to determine the effect of topical otic drops on the rates of postoperative ventilation tube otorrhoea and ventilation tube occlusion in children after myringotomy and ventilation tube insertion in children.

A randomized comparative interventional study was carried out on 45 children (84 years) attending Basrah General Hospital, they were 32 males (71%) and 13 females (28.9%), 39 cases have bilateral otitis media with effusion and 6 with unilateral disease, the age range was 3-17 years old.

After full assessment of patients, myringotomy and ventilation tube insertion was done for every one with or without adenoidectomy and tonsillectomy or both.

They were divided into three groups: first group with no local intervention, second group with single application of ciprofloxacin otic drops at surgery, third group with continuous application of ciprofloxacin otic drops for four days after surgery.

A follow-up visit was instructed after 14 days for all.

The rates of postoperative ventilation tube otorrhoea and ventilation tube occlusion were recorded.

With application of statistical analysis on the results, there was a statistically significant reduction in the rate of postoperative otorrhoea with using the ciprofloxacin otic drops for four days after surgery (P-value 0.043) with a reduction in the incidence of otorrhoea from 29.6% to 7.6% as compared to the group without using the drops.

No significant results obtained with a single drops application at time of surgery.

There were no statistically significant results in regard to the rates of postoperative ventilation tube occlusion among the study groups.

In conclusion, ciprofloxacin otic drops application for few days after myringotomy and ventilation tube insertion appears to be effective to reduce the rate of postoperative ventilation tube otorrhoea.

Neither the single nor the continuous otic drops applications could reduce the rates of postoperative ventilation tube occlusion.