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

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

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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.

Original languageEnglish
Pages (from-to)959-964
Number of pages6
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume278
Issue number4
DOIs
StatePublished - Apr 2021

Keywords

  • Chronic suppurative otitis media
  • Otitis media
  • Pseudomonas aeruginosa
  • Resistant bacteria

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