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The value of head dressings for middle ear surgery

Published online by Cambridge University Press:  29 June 2007

Julian M. Rowe-Jones  and
Susanna E. J. Leighton
Julian M. Rowe-Jones*
Affiliation:
Department of Otolaryngology, St George's Hospital and Medical School, London
Susanna E. J. Leighton
Affiliation:
Department of Otolaryngology, St George's Hospital and Medical School, London
*
Mr Julian M. Rowe-Jones F.R.C.S., ENT Department, Royal Surrey County Hospital, Egerton Road, Guildford GU2 5XX.
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Abstract

A prospective trial was performed to ascertain the value of head dressings in the post-operative management of patients undergoing middle ear and mastoid surgery. One hundred consecutive patients were randomly allocated to a head dressing or no head dressing group after wound closure.

Nine patients in the head dressing group developed a wound complication as opposed to four patients in the no head dressing group.

The application of a pressure dressing following middle ear and mastoid surgery is unnecessary and may contribute to increased wound morbidity.

Keywords

SurgeryearmiddleOcclusive dressings
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 1 , January 1993 , pp. 17 - 19
Copyright
Copyright © JLO (1984) Limited 1993

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References

Anonymous. (1977). Myospherulosis: an iatrogenc disease. Lancet, ii: 842–843.Google Scholar
Bainton, R., Barnard, N.A. (1989). Pressure necrosis of a bicoronal flap. Annals of the Royal College of Surgeons of England, 71: 353Google Scholar
Carpel, E.F. (1990). The use of eye pads after cataract surgery. American Journal of Ophthalmology, 110: 318–319.CrossRefGoogle ScholarPubMed
Chrintz, H., Vibits, H., Cordtz, T.O, Harreby, J.S, Waaddegaard, P., Larsen, S.O (1989). Need for surgical wound dressing. British Journal of Surgery, 76: 204–205.CrossRefGoogle ScholarPubMed
Department of Health. (1989). Working for patients. London. HMSO.Google Scholar
Devlin, B.H (1990). Audit and the quality of clinical care. Annals of the Royal College of Surgeons of England (Supplement), 72: 3–14.Google ScholarPubMed
Dickins, J.R.E., Graham, S.S (1989). Otologic surgery in the outpatient versus the hospital setting. The American Journal of Otology, 10: 252–255.Google ScholarPubMed
Goycoolea, M.V, Paparella, M.M, Nissen, R.L (1989). Atlas of otologic surgery, 1st edn., WB Saunders Co. Philadelphia, p 111–119.Google Scholar
Heath, C. (1926). Discussion on the after-treatment and results of the simple and radical mastoid operations. British Medical Journal, II: 1160–1161.Google Scholar
Jackson, C.G, Glasscock, M.E, Nissen, A.J, Schwaber, M.K, Bojrab, D.I (1985). Open mastoid procedures: contemporary indications and surgical technique. Laryngoscope, 95: 1037–1043.CrossRefGoogle ScholarPubMed
Jenkins, G.J (1926). The Schwartze operation for acute mastoiditis: after-management of the wound. British Medical Journal, II: 1153–1154.Google Scholar
Johnstone, A.J, John, T.G, Thompson, A.M, Dixon, J.M (1991). Wound compression pads are of no value after local anaesthetic breast biopsy. Annals of the Royal College of Surgeons of England, 73: 303–304.Google ScholarPubMed
Marshall, D.A, Mertz, P.M, Eaglstein, W.H (1990). Occlusive dressings. Does dressing type influence the growth of common bacterial pathogens? Archives of Surgery, 125: 1136–1139.CrossRefGoogle ScholarPubMed
Norris, P., Storrs, F.J (1990). Allergic contact dermatitis to adhesive bandages. Dermatologic Clinics, 8: 147–152.CrossRefGoogle ScholarPubMed
Peel, A.L.G., Taylor, E.W (1991). Proposed definitions for the audit of post-operative infection. Annals of the Royal College of Surgeons of England, 73: 385–388.Google Scholar
Powell, B.W.E.M. (1989). The value of head dressings in the post-operative management of the prominent ear. British Journal of Plastic Surgery, 42: 692–694.CrossRefGoogle ScholarPubMed
Saunders, W.H, Paparella, M.M (1971) Atlas of ear surgery. 2nd edn., The CV Mosby Co., St Louis. p 70–71.Google Scholar
Weir, N. (1990) Otolaryngology: an illustrated history, Butterworth and Co. Ltd, London. p 210.Google Scholar