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TONI M. LEVINE, MD
Brooklyn, NY

Arch Otolaryngol Head Neck Surg. 1988;114(3):239.

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Jack W. Aland, Jr, MD, and Robert L. Baldwin, MD, Birmingham, Ala, reported on the effect of preparing the external auditory canal with povidone-iodine on the incidence of otorrhea after tympanostomy with tube insertion in a pediatric population. Their study, presented at the American Academy of Otolaryngology–Head Neck Surgery annual meeting in September, reported on 111 patients in whom the right ear was prepared with povidone-iodine and the left ear was left as a control. The patients underwent routine tympanostomy tube placement, and no postoperative antibiotic therapy was employed. The mean age of the patients was 26 months. Of the prepared ears, 6.3% developed otorrhea vs 9.9% in the control group. This difference was not statistically significant. Of interest, 19% of the ears with mucoid fluid and over 20% of the ears with purulent material present in the middle ear at the time of tympanostomy developed postoperative otorrhea.

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