Acetic Acid Versus Ciprofloxacin Ear Drops In Treating Chronic Otitis Media: A Comparative Study

Authors

  • Asma Mohd Shoukat Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur, Karnataka, India
  • Rajneesh Khelgikar Professor, Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur, Karnataka, India
  • Shweta Sawant Assistant Professor, Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur, Karnataka, India
  • Rajashree SP Assistant Professor, Department of Otolaryngology and Head & Neck Surgery, Navodaya Medical College, Raichur, Karnataka, India

Keywords:

Chronic otitis media mucosal type, acetic acid, ciprofloxacin, topical antibiotics, COM.

Abstract

Background: Chronic suppurative otitis media (CSOM), which is now presently referred to as chronic otitis media (COM), is a chronic inflammation of the middle ear cleft including the eustachian tube, middle ear proper, aditus, antrum, and mastoid air cells.Since its effects are prolonged or repeated, a chronic middle ear infection is often more destructive than an acute middle ear infection. It’s recently been classified as mucosal type (active/inactive ), squamosal ( active/inactive), and healed chronic otitis media. Ear discharge and hearing loss are the common symptoms of COM. In developing countries, COM is a leading cause of acquired hearing loss.Topical antibiotics are the foremost commonly used for treating COM which usually act by killing or inhibiting the development of micro‐organisms responsible for the infection. For COM, antibiotics alone or in addition to other treatments can be used, like ear cleaning (aural toileting).
Methods: This prospective study involved all the patients with chronic otitis media mucosal type who abide by inclusion and exclusion criteria treated with diluted acetic acid ear drops in one group and ciprofloxacin ear drops in another group.A total of 100 patients were selected in a period of 10 months from January 2021 to October 2021 who visited the otorhinolaryngology outpatient department of Navodaya medical college, and were divided into two groups. 50 patients of Group A were treated with diluted acetic acid ear drops and 50 patients of group B were treated with ciprofloxacin ear drops. The pretreatment and post-treatment findings were assessed.
Results: Using diluted acetic acid ear drops in treating chronic otitis media gave better results for the absence of discharge, mucosa of the middle ear, and perforation healing when compared to ciprofloxacin ear drops.
Conclusion: Medical management of active COM mucosal type by irrigation with dilute acetic acid could be more effective in comparison to topical antibiotics. Acetic acid preparation can be used as preferred medical management before surgical management for obtaining a dry ear, however patient compliance is an crucial factor for a better outcome. Use of acetic acid drops is the better alternative to topical antibiotics in terms of cost-effectiveness and fewer side effects.

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Published

2022-01-17

How to Cite

Asma Mohd Shoukat, Rajneesh Khelgikar, Shweta Sawant, & Rajashree SP. (2022). Acetic Acid Versus Ciprofloxacin Ear Drops In Treating Chronic Otitis Media: A Comparative Study. International Journal of Health and Clinical Research, 5(2), 1088–1091. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/5239