Prospective comparative study of two topical medications- 10% Ichthammol gycerine pack vs Steroid-Antibiotic pack for the treatment of Acute Otitis Externa
Journal Title: International Journal of Medical Science and Current Research (IJMSCR) - Year 2018, Vol 1, Issue 2
Abstract
Acute Otitis externa, a common clinical entity of the external auditory canal is characterized by pain, erythema and edema. Aural packing using 10% Ichthammol Glycerine or steroid-antibiotic combination is usually done as the initial treatment modality. The aim of this study is to compare the efficacy of 10% Ichthammol Glycerine against steroid-antibiotic (Betamethasone Topical (0.1% w/w), + Neomycin Topical (0.5% w/w)) pack in relieving pain and edema in patients with acute otitis externa. Materials and Methods: This prospective comparative study was done on 50 patients with a diagnosis of acute otitis externa who were randomly divided into two groups of 25 each (Group A & B). Group A were treated using 10% Ichthammol Glycerine (IG) pack and Group B with Betamethasone Topical (0.1% w/w), + Neomycin Topical (0.5% w/w)) (Betnovate N) cream. Pain was assessed using a ten point Numerical Rating Scale (NRS) and scored based on patients response. For edema the severity was graded based on degree of visualization of tympanic membrane into mild, moderate and severe. NRS score and edema grading were compared on initial presentation and during subsequent follow-up between the two groups. Results: There was a statistically significant (p 0.0001) decrease in pain as well as edema in patients treated with steroid-antibiotic pack when compared with 10% IG pack. The average number of follow up visits needed was also observed to be less in Group-B patients. Conclusion: Steroid antibiotic pack does produce rapid relief of pain and edema, decreases the number of follow-up visits needed and hence can be considered as a better alternative over 10% IG pack in the initial treatment of acute otitis externa
Authors and Affiliations
Dr. Jayagar Prabakaran
Keywords
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Prospective comparative study of two topical medications- 10% Ichthammol gycerine pack vs Steroid-Antibiotic pack for the treatment of Acute Otitis Externa
Acute Otitis externa, a common clinical entity of the external auditory canal is characterized by pain, erythema and edema. Aural packing using 10% Ichthammol Glycerine or steroid-antibiotic combination is usually done a...