Nonshaved Ear Surgery: Effect of Hair on Surgical Site Infection of the Middle Ear/Mastoid Surgery and Patients’ Preference for the Hair Removal

Lee, Dong-Hee; Yoo, Sun-Mi; Shin, Eunhye; Cho, Yesun

doi:10.7874/jao.2018.00101

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…По литературным данным, вопрос депиляции операционного поля в отохирургии чаще всего обсуждается для заушной области [27,28], однако рекомендации относительно необходимости удаления волос при эндауральном и трансканальном доступе отсутствуют во всех крупных руководствах (Mangram, 1999; WHO, 2016, 2018) 2 . Оценка воздействия наличия волос в НСП на визуализацию в ходе операции показала, что удаление волос способствует улучшению обзора, особенно при проведении операции под контролем эндоскопа при трансканальном доступе.…”

Section: Discussionunclassified

Antiseptic and hygienic preparation of patients for ear surgery with an endaural approach

Suaifan,

Eremeeva,

Morozova

2024

Medicinskij sovet

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Introduction. Optimization of preoperative preparation protocols in otosurgery can reduce intraand postoperative infectious complications, improve surgical outcomes, which is important for the rehabilitation of patients with ear diseases.Aim. To determine the effectiveness of antiseptic and hygienic preoperative preparation of the surgical field during endaural otosurgical interventions.Materials and methods. The randomized study included 183 patients who underwent surgery via the endaural approach. The first part of the study evaluated the effect of 10% povidone-iodine solution treatment on the skin microbiome; the second part evaluated the need for ear canal depilation and before surgery and compared the methods.Results. Examination of skin microbiota of the external auditory canal in 85% revealed the growth of microorganisms:Staphylococcus – 115 (85.5%), fungal growth – 6 (4.4%), Corynebacterium – 8 (5.9%), etc. Microbial growth was not detected in 15%. Antiseptic treatment with 10% Povidone-iodine solution with endaural access reduces the degree of contamination and suppresses the growth of microorganisms in more than one third of patients. Inflammatory changes of the postoperative wound correspond to the degree of inflammation IA in both control and study groups. After depilation, visualization was assessed as optimal in 100% of cases and no inflammatory reactions were found. Average depilation time with scissors 113 sec, with an ear trimmer 32 sec.Conclusions. Preoperative antiseptic preparation reduces microbial contamination of the skin via endaural access, with no significant impact on wound healing process in the postoperative period. Depilation improved the view of the operative field in 100% of cases. Depilation with an ear trimmer is 3.5 times faster than with scissors.

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Section: Discussionunclassified

Antiseptic and hygienic preparation of patients for ear surgery with an endaural approach

Suaifan,

Eremeeva,

Morozova

2024

Medicinskij sovet

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“…[ 8 , 9 ] In addition to hair removal, skin preparation by nonhair removal modality such as antiseptic techniques has been considered as alternative measures to prevent SSIs. [ 10 – 12 ] However, clinical effects of antiseptic agents used during skin preparation on preventing SSI remain sketchy.…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of preoperative skin preparation with 2% chlorhexidine versus conventional hair shaving in percutaneous coronary intervention

et al. 2021

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Background: Preoperative skin preparation is associated with surgical site infection (SSI). Traditional preoperative shaving fails to reduce the risk of SSI. The efficacy of 2% chlorhexidine for preoperative skin preparation in percutaneous coronary intervention (PCI) is sketchy. The aim of this trial was to evaluate whether preoperative skin preparation performed with chlorhexidine was not inferior to a conventional hair removal method. Methods: Seventy-eight patients undergoing PCI were randomized into 2 groups of 39 patients, receiving either single sterilization with 2% chlorhexidine or hair shaving respectively between July 2016 and October 2016. The primary endpoints were wound infection rate and bacterial counts. Secondary endpoints were rate of SSI and adverse effects of 2% chlorhexidine. Results: The results showed that 2% chlorhexidine significantly reduced the colonization of Staphylococcus aureus ( P = .032), S epidermidis ( P = .000), and miscellaneous bacteria ( P = .244) in comparison with hair shaving, respectively. Redness in 24 hours after surgery was observed in 6 patients in the control group (15.4%) and 5 patients (12.8%) in 2% chlorhexidine group. There was no statistically significant difference in SSI rate between 2 skin preparations. Conclusion: In PCI, preoperative skin preparation with 2% chlorhexidine was not inferior to conventional hair shaving in terms of the wound infection rate and SSI rate.

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“…132 МЕДИЦИНСКИЙ СОВЕТ 2022;16 (8): [131][132][133][134][135] Хирургическая оториноларингология ВВЕДЕНИЕ Хирургия среднего уха, как и любое хирургическое вмешательство, начинается с предоперационной подготовки, что в первую очередь направлено на уменьшение риска «инфицирования хирургического поля» (SSI -Surgical Site Infection) наружного слухового прохода и/или заушной области [1,2] Наружный слуховой проход (НСП) полностью выстилает кожа: в перепончато-хрящевом отделе, по сравнению с костным, она более толстая, рыхло соединена с подлежащими тканями, снабжена волосяными фолликулами, сальными и серными железами [3,4]. Наружный отит, в т. ч. и его ограниченная форма (фурункул, карбункул), составляет от 17 до 30% всех воспалительных заболеваний уха [5][6][7].…”

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Depilation of the external auditory canal in transcanal and endaural otosurgery

Suaifan

Eremeeva

2022

Medicinskij sovet

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Introduction. Literature review search did not show enough information to answer the question concerning the need to remove hair in the external auditory canal as a part of preoperative preparation of the surgical field in middle ear surgery with endaural and transcanal approaches.Aim of the study. To substantiate the removal of hair from the external auditory canal during transcanal and endaural otosurgery.Materials and methods. A prospective randomized study included 2 groups. In the first group, tympanoplasty and stapedoplasty were performed via endaural approach with and without hair removal in the external auditory canal. The effect on the intraoperative overview and postoperative wound healing was assessed. Shunting of the tympanic cavity in the second group, with transcanal approach, have been performed under the control of a microscope and endoscope. The evaluation was done via a questionnaire, it was given to the doctor before and after hair removal separately. Postoperative inflammatory reaction was also assessed.Results. Postoperative wound healing of the external auditory canal in the first group were considered comparable between the main and the control group, and had no complications. In the second group, inflammation was absent in all patients. Hair removal significantly improve the visibility in endaural and transcanal approach.Conclusions. Hair removal from the external auditory canal increases the visibility of the surgical field and facilitates the work of an otosurgeon. It is especially recommended as a preoperative preparation, especially for transcanal surgical interventions on the middle ear under endoscope control.

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Nonshaved Ear Surgery: Effect of Hair on Surgical Site Infection of the Middle Ear/Mastoid Surgery and Patients’ Preference for the Hair Removal

Cited by 6 publications

References 9 publications

Antiseptic and hygienic preparation of patients for ear surgery with an endaural approach

Antiseptic and hygienic preparation of patients for ear surgery with an endaural approach

Randomized clinical trial of preoperative skin preparation with 2% chlorhexidine versus conventional hair shaving in percutaneous coronary intervention

Depilation of the external auditory canal in transcanal and endaural otosurgery

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