Bismuth Iodoform Paraffin Paste [bipp] Wick versus Topical Levofloxacin Drops in Rapid Drying of Wet Ear in Tubotympainic Chronic Suppurative Otitis Media

Said Mustafa Said  Al Jaff

doi:10.56056/amj.2017.22

Authors

Said Mustafa Said Al Jaff Ass. Professor, College of Medicine/ Hawler Medical University, Consultant Otolaryngologists, Rizgary Teaching Hospital

DOI:

https://doi.org/10.56056/amj.2017.22

Keywords:

Bismuth Iodoform Paraffin Paste, Chronic Suppurative Otitis Media

Abstract

Background and objectives: Topical ear drops have been the mainstay in the medical management of actively dis- charging chronic suppurative otitis media with central perforation. Bismuth Iodoform Paraffin Paste has been used over the past 30 years for various clinical purposes on skin and mucosa without any serious local or systemic ad- verse effects. The aim of this study was to evaluate if Bismuth Iodoform Paraffin Paste can be used topically in the treatment of chronic superlative otitis media–tub tympanic disease and to compare it with Levofloxacin ear drops.

Methods: Prospective comparative study was done in academic tertiary medical center and private clinic from March 2014 to March 2016. Sixty patients with chronic suppurative otitis media tub tympanic type were randomized into 2 groups. One group (30 patients) received Bismuth Iodoform Paraffin Paste wick after meticu- lous aural toilet by suction clearance and dry mopping with or without using microscope accordingly, while the other group (30 patients) received topical Levofloxacin ear drops.

Results: Clinical improvement at the end of fourth day study was 90% in the BIPP group and 67% in the levoxacin group, and was 97%, 93% in BIPP, Levofloxacin group respectively, at the end of 10 day. The most commonly isolated organism was Pseudomonas aeruginosa.

Conclusion: The results show that clinically, topical Bismuth Iodoform Paraffin Paste is more effective than topical levoxacin in this short time, besides; there is the benefit of low cost of therapy.

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