Suppr超能文献

乳突腔黏膜衬里分离后铋碘仿石蜡糊剂过敏反应:587例患者系列研究

Bismuth iodoform paraffin paste hypersensitivity reactions in mastoid cavities following isolation of mucosal lining: a series of 587 patients.

作者信息

Coulson C J, Pothier D D, Lai P, Rutka J A

机构信息

Department of Otolaryngology, Division of Otology/Neurotology, Toronto General Hospital, Ontario, Canada.

出版信息

J Laryngol Otol. 2012 Mar;126(3):240-3. doi: 10.1017/S0022215111003306. Epub 2012 Jan 11.

Abstract

AIM

(1) To assess hypersensitivity to bismuth iodoform paraffin paste impregnated ribbon gauze following its use in packing canal wall down mastoidectomy cavities; (2) to determine if isolation of the skin and mucosa from the pack, using thin Silastic sheeting and Cortisporin ointment, reduces hypersensitivity reactions, compared with a previous series; and (3) to review the literature and to determine if bismuth iodoform paraffin paste hypersensitivity precludes the consumption of seafood (due to its high iodine content).

MATERIALS AND METHODS

All patients undergoing canal wall down mastoidectomy with intra-operative bismuth iodoform paraffin paste packing between 1985 and 2009 were identified and reviewed.

RESULTS

Of 587 patients identified, the overall bismuth iodoform paraffin paste reaction rate was 1 per cent. All reactions were in patients undergoing revision mastoidectomy procedures, giving a reaction rate for revision procedures of 2.4 per cent.

CONCLUSION

Reactions are an uncommon event following post-operative mastoid cavity packing using bismuth iodoform paraffin paste. Reaction rates may be lowered by preparing the cavity with Silastic sheeting and Cortisporin ointment prior to packing, thus isolating the skin and mucosal surfaces. Development of such a reaction does not preclude the consumption of seafood.

摘要

目的

(1)评估碘仿铋石蜡糊浸渍带状纱布用于填充开放式乳突切除腔后出现超敏反应的情况;(2)与之前的系列研究相比,确定使用薄硅橡胶片和可的松眼膏将皮肤和黏膜与填充物隔离是否能减少超敏反应;(3)查阅文献,确定碘仿铋石蜡糊超敏反应是否会因海鲜碘含量高而限制海鲜食用。

材料与方法

确定并回顾了1985年至2009年间所有接受开放式乳突切除术并在术中使用碘仿铋石蜡糊填充的患者。

结果

在确定的587例患者中,碘仿铋石蜡糊的总体反应率为1%。所有反应均发生在接受乳突改良根治术的患者中,改良根治术的反应率为2.4%。

结论

术后使用碘仿铋石蜡糊填充乳突腔后发生反应是罕见事件。在填充前用硅橡胶片和可的松眼膏处理术腔以隔离皮肤和黏膜表面,可能会降低反应率。发生这种反应并不限制海鲜食用。

相似文献

2
Bismuth iodoform paraffin paste: a review.
J Laryngol Otol. 2011 Sep;125(9):891-5. doi: 10.1017/S0022215111001599. Epub 2011 Jul 12.
3
Hypersensitive allergic reactions to bismuth-iodoform-paraffin paste following ear surgery.
J Laryngol Otol. 1998 Apr;112(4):335-7. doi: 10.1017/s0022215100140411.
4
Myringoplasty: a comparison of bismuth iodoform paraffin paste gauze pack and tri-adcortyl ointment ear dressing.
J Laryngol Otol. 2007 Apr;121(4):329-32. doi: 10.1017/S0022215106002660. Epub 2006 Nov 14.
7
Avoidance of BIPP allergy hypersensitivity reactions following ear surgery.
Clin Otolaryngol. 2008 Feb;33(1):32-4. doi: 10.1111/j.1749-4486.2007.01563.x.
8
Neurotoxicity Secondary to Bismuth Iodoform Paraffin Paste Packing in an Orbital Exenteration Cavity.
Ophthalmic Plast Reconstr Surg. 2018 Mar/Apr;34(2):179-180. doi: 10.1097/IOP.0000000000001070.
9
Mastoidectomy packs: Xeroform or BIPP?
J Laryngol Otol. 1991 Nov;105(11):916-7. doi: 10.1017/s0022215100117803.
10
Bismuth iodoform paraffin paste: a review.
J Laryngol Otol. 2012 Nov;126(11):1192. doi: 10.1017/S0022215112002113. Epub 2012 Sep 14.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验