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Updated: Aug 10, 2026

Trans-Tympanic Drug Delivery for the Treatment of Ototoxicity
Published on: March 16, 2018
Safety of ototopical antibiotics
D B Welling1, L A Forrest, F Goll
1Department of Otolaryngology, Ohio State University, Columbus, USA.
Insights
A single dose of Cortisporin Otic Suspension after tympanostomy tube insertion showed no increased risk of hearing loss or otorrhea in children. This antibiotic is safe for middle ear infections following tube placement.
Area of Science:
- Otolaryngology
- Pediatric Otology
- Infectious Disease
Background:
- Tympanostomy tube insertion is a common pediatric procedure.
- Ototopical antibiotics are frequently used post-procedure.
- Evidence on the safety and efficacy of single-dose antibiotic use is limited.
Purpose of the Study:
- To evaluate the safety and efficacy of a single dose of ototopical antibiotics.
- To assess the impact on hearing and otorrhea after tympanostomy tube insertion.
Main Methods:
- Prospective randomized study.
- Fifty children received a single dose of Cortisporin Otic Suspension (COS) in one middle ear.
- Preoperative and postoperative audiograms and otorrhea assessment were performed.
Main Results:
- No statistical difference in hearing loss between treated and untreated ears.
- No significant difference in postoperative otorrhea.
- One patient experienced bilateral sensorineural hearing loss, unrelated to treatment.
Conclusions:
- A single dose of COS is safe and effective.
- Does not increase the risk of hearing loss or otorrhea.
- Supports the use of single-dose ototopical antibiotics post-tympanostomy tube insertion.
Abstract:
A prospective randomized study analyzing the safety and efficacy of a single dose of ototopical antibiotics following human middle ear tympanostomy tube insertion was performed. Fifty children undergoing bilateral tympanostomy tube insertion were studied by the placement of 0.5 mL of Cortisporin Otic Suspension (COS; Burroughs Wellcome Co., Research Triangle Park, N.C.) to one middle ear space by random assignment. Preoperative and postoperative audiograms were obtained, and the presence of otorrhea was noted. In one patient sensorineural hearing loss of 6 dB developed bilaterally, which was symmetric in both the treated and the untreated ear. This preliminary study showed no statistical difference in hearing loss or postoperative otorrhea associated with a single application of Cortisporin to the middle ear space.
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