Evidence map›Paper›PMID 34667864›Full record

ArticleLaryngoscope investigative otolaryngology2021

Does intraoperative ciprofloxacin-soaked gelfoam have adverse effects on graft success rate? A randomized, double-blind controlled trial.

Mohammad Faramarzi, Tayebeh Kazemi, Mahmoud Shishegar, Omid Zargerani, Ali Faramarzi, Tahereh Mohammadi, Fatemeh Kooreshnia, Saleh Aghaei, Mohammadali Asadi, Amirhossein Babaei

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 3 countries.

Mohammad FaramarziDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0002-6903-3252
Tayebeh KazemiDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0002-1133-4677
Mahmoud ShishegarDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0003-0423-4464
Omid ZargeraniDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.
Ali FaramarziDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0003-4814-1729
Tahereh MohammadiDepartment of Communication Sciences and Disorders Northwestern University Chicago Illinois USA.
Fatemeh KooreshniaDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.
Saleh AghaeiDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.
Mohammadali AsadiDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.
Amirhossein BabaeiDepartment of Otolaryngology Head and Neck Surgery, Otolaryngology Research Center Shiraz University of Medical Sciences Shiraz Iran.ORCID https://orcid.org/0000-0003-0251-1712
Shiraz University of Medical Sciences · IRNorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate whether intraoperative ciprofloxacin-soaked gelfoam is safe in tympanoplasty or not.

methodIn this randomized, double-blind controlled clinical study, we included 100 patients between 18 and 60 years old, having perforation ≥50% of the tympanic membrane and dry ear for at least 2 months who were a candidate for underlay tympanoplasty via postauricular approach. We used ciprofloxacin soaked gelfoam in the case group and betamethasone soaked gelfoam in the control group for packing the middle ear cavity and external auditory canal during their operation. The graft success rate and tympanogram after 6 months follow-up period was considered as the primary outcome. Also, we evaluated the postoperative hearing results 6 months after the surgery as the secondary outcomes.

resultsPostoperative microscopic otoscopy showed a graft success rate of 100% (44/44) and 97.7% (42/43) in the case and control groups, respectively. The level of improvement between the two groups was not significant for air-bone gap (ciprofloxacin: 9.01 ± 7.89 dB, betamethasone 5.31 ± 10.53 dB,

conclusionsWe found that the application of ciprofloxacin impregnated gelfoam in the middle ear, and the external auditory canal had no adverse effect on the graft success rate in tympanoplasty. LEVELS OF EVIDENCE: 1b.

Indexed as

betamethasoneciprofloxacingraft success ratetympanic membranetympanoplasty

Identifiers

PMID34667864
PMCPMC8513452
OpenAlexW3203941626

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.