Related Experiment Video

Updated: Dec 17, 2025

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
07:06

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique

Published on: May 23, 2021

4.2K

Outcome of surgery for chronic suppurative otitis media with resistant Pseudomonas aeruginosa

O Cavel1, O J Ungar2, Y Oron2

  • 1Department of Otolaryngology, Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, 6 Weizmann Street, 6423906, Tel-Aviv, Israel. orencavel@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|June 26, 2020
PubMed
Abstract

Insights

Surgical treatment, including tympanoplasty with or without mastoidectomy, effectively resolves chronic suppurative otitis media (CSOM) caused by ciprofloxacin-resistant Pseudomonas aeruginosa when other treatments fail.

Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Surgical Innovation

Background:

  • Chronic suppurative otitis media (CSOM) poses a significant challenge, particularly when caused by antibiotic-resistant pathogens.
  • Pseudomonas aeruginosa resistant to ciprofloxacin complicates treatment, often necessitating advanced interventions.

Purpose of the Study:

  • To evaluate the efficacy of surgical interventions for CSOM caused by ciprofloxacin-resistant Pseudomonas aeruginosa.
  • To assess surgical outcomes in patients who failed prior local and systemic therapies.

Main Methods:

  • Retrospective case review of eleven patients treated at a tertiary referral center.
  • Surgical interventions included tympanoplasty alone or with mastoidectomy.
  • Outcomes assessed by infection resolution and tympanic graft take, with hearing as a secondary measure.

Main Results:

  • A 73% success rate was achieved, with 8 out of 11 patients showing resolution of infection and successful tympanic graft take.
  • The average follow-up period was 20 months.
  • No surgical complications were reported.

Conclusions:

  • Tympanoplasty, with or without mastoidectomy, offers a safe and effective treatment option for refractory CSOM.
  • Surgery provides acceptable anatomical and functional success rates when conservative treatments are insufficient.
Keywords:
Chronic suppurative otitis mediaOtitis mediaPseudomonas aeruginosaResistant bacteria

More Related Videos

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice15:43

Long Term Chronic Pseudomonas aeruginosa Airway Infection in Mice

Published on: March 17, 2014

23.6K
Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration09:07

Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration

Published on: January 26, 2024

3.1K

Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
199
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
333
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

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.
Equipment Required
2.3K
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
9.3K
Pneumonia IV: Management01:28

Pneumonia IV: Management

The treatment of pneumonia varies based on its severity and the causative pathogen. Here is a structured approach to managing pneumonia, integrating pharmaceutical and supportive care strategies.
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
655
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
726