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Related Concept Videos

Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Suctioning the Nasopharyngeal Airway01:29

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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Tracheostomy Care I: Pre-procedural Steps01:16

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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
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Tonsillitis II: Management01:26

Tonsillitis II: Management

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Related Experiment Video

Updated: Jul 10, 2026

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
02:37

Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Published on: December 15, 2023

Ear packing after ear surgery: is it really necessary?

J Borgstein1, G de Zwart, I A Bruce

  • 1Department of Paediatric Otolaryngology, Sophia Children's Hospital, Rotterdam, The Netherlands. j.borgstein@erasmusmc.nl

The Journal of Laryngology and Otology
|October 13, 2007
PubMed
Summary

Ear canal packing after surgery may be unnecessary. This study found that omitting post-operative ear packing in children led to few complications, suggesting it can be safely abandoned.

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery

Background:

  • Post-operative ear packing is a common practice after ear surgery.
  • Concerns exist regarding the necessity and patient discomfort associated with ear packing.

Purpose of the Study:

  • To evaluate the safety and efficacy of omitting post-operative ear canal packing in pediatric patients undergoing major ear surgery.
  • To determine the incidence of post-operative complications without ear packing.

Main Methods:

  • Retrospective review of 135 major ear surgeries in 107 pediatric patients over one year.
  • Analysis of post-operative complications and infections within the first six weeks.
  • Procedures included a full range of otological interventions.

Main Results:

  • A total of 135 ears were operated on in 107 patients (age range: 11 months to 19 years).
  • Eight children (7.5%) developed post-operative ear infections, all managed with topical antibiotics.
  • No instances of tympanic/meatal granulations, tympanomeatal flap issues, or meatal stenosis were observed.

Conclusions:

  • Omitting post-operative ear canal packing appears safe in pediatric ear surgery.
  • Abandoning ear packing can reduce operating time and eliminate the discomfort and anxiety of pack removal.
  • This practice is particularly beneficial for children, avoiding potential repeat anesthesia for pack removal.