caa a22 4500 445297948 CHVBK 20180317142547.0 cr unu---uuuuu 170323e20101001xx s 000 0 eng 10.1007/s12070-010-0055-z doi (NATIONALLICENCE)springer-10.1007/s12070-010-0055-z Effective Treatment of Acute Otitis Externa: a Comparison of Steroid Antibiotic Versus 10% Ichthammol Glycerine Pack [Elektronische Daten] [B. Shrestha, I. Shrestha, R. Amatya, A. Dhakal] To compare the efficacy of treatment between steroid-antibiotic and 10% Ichthammol glycerine packs (IG packs) in acute otitis externa. A prospective, randomized clinical trial between steroid-antibiotic and 10% IG pack which was performed in department of ENT-HNS, Kathmandu University Hospital, Dhulikhel from July 2009 to December 2009 on 82 patients. Pain was assessed by Numerical Rating Scale (NRS) and edema was assessed by dividing the external auditory canal in four quadrant giving score of 25% for each on the day of presentation and subsequent visits till tragal tenderness and edema subsided. Age group among studied patients ranged from 10 to 60years, with mean of 23.5years. Out of which 42 (51.2%) were females and 40 (48.8%) were males. Average number of visits in 10% IG pack group (n=41) was 5.4days (2-5 visits) while in steroid-antibiotic group (n=41) it was 3.5days (2-5 visits). There was statistically significant decrease in the number of visits in steroid group (P<0.05). Similarly, decrease in pain score in second visit was statistically significant (P=0.02) in steroid-antibiotic group as compared to 10% IG pack, while the edema score in second visit while comparing steroid-antibiotic group with 10% IG pack was statistically not significant (P=0.07), whereas it was statistically highly significant on fourth visit (P=0.001). Since the control of pain and edema is more and hence the number of visits is significantly less in steroid-antibiotic packing group, so it is worthwhile to use steroid-antibiotic pack for effective treatment of acute otitis externa. Association of Otolaryngologists of India, 2010 Acute otitis externa nationallicence Numeric rating scale nationallicence Steroid-antibiotic pack nationallicence 10% Ichthammol glycerine pack nationallicence Shrestha B. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut Shrestha I. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut Amatya R. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut Dhakal A. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut Indian Journal of Otolaryngology and Head & Neck Surgery Springer-Verlag 62/4(2010-10-01), 350-353 0019-5421 62:4<350 2010 62 12070 https://doi.org/10.1007/s12070-010-0055-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12070-010-0055-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Shrestha B. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut NATIONALLICENCE 700 1- Shrestha I. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut NATIONALLICENCE 700 1- Amatya R. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut NATIONALLICENCE 700 1- Dhakal A. Department of ENT-HNS, Kathmandu university School of Medical Sciences, Dhulikhel, Nepal aut NATIONALLICENCE 773 0- Indian Journal of Otolaryngology and Head & Neck Surgery Springer-Verlag 62/4(2010-10-01), 350-353 0019-5421 62:4<350 2010 62 12070 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer