Evidence map›Paper›PMID 40917875›Full record

ArticleOTO open

Outpatient Nebulized Ciprofloxacin-Dexamethasone After Endoscopic Airway Surgery in Adults: Tolerability, Safety, and Adherence.

Cyrus W Abrahamson, Abbey L Landini, Jonathan P Kuriakose, Jasmine Stewart, James A Burns, Andrew P Stein

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

6 authors.

Cyrus W AbrahamsonNorthwestern University Feinberg School of Medicine Chicago Illinois USA.ORCID https://orcid.org/0000-0002-6359-5393
Abbey L LandiniNorthwestern University Feinberg School of Medicine Chicago Illinois USA.ORCID https://orcid.org/0000-0001-8779-4402
Jonathan P KuriakoseDepartment of Otolaryngology-Head and Neck Surgery Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0000-0002-2061-5331
Jasmine StewartNew York Institute of Technology College of Osteopathic Medicine at Arkansas State University Jonesboro Arkansas USA.ORCID https://orcid.org/0009-0005-9585-7481
James A BurnsDepartment of Otolaryngology-Head and Neck Surgery Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0000-0002-0772-4429
Andrew P SteinDepartment of Otolaryngology-Head and Neck Surgery Northwestern University Chicago Illinois USA.ORCID https://orcid.org/0000-0002-2551-1064

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Nebulized ciprofloxacin-dexamethasone represents an adjuvant medication utilized following airway surgery. However, minimal objective information exists on this treatment, especially over more extended periods. This study measured the safety, tolerability, and adherence to nebulized ciprofloxacin-dexamethasone utilized in the outpatient setting after endoscopic airway surgery for adult patients. Study Design: Retrospective cohort study. Setting: Single-institution academic center. Methods: All patients with laryngotracheal stenosis managed by a single surgeon from 2021 to 2024 who underwent endoscopic airway surgery were included. Patient demographics, stenosis etiology, comorbidities, and ciprofloxacin-dexamethasone prescriptions were documented. Ciprofloxacin-dexamethasone dose, duration of treatment, adherence, tolerability, and side effects were collected. Potential side effects evaluated included allergic reactions, postoperative infections and pneumonia, and Cushingoid symptoms. Results: Sixty-nine adult patients underwent endoscopic airway surgery to treat laryngotracheal stenosis, and fifty-nine were prescribed nebulized ciprofloxacin-dexamethasone postoperatively. Fifty-two patients (88.1%) filled their prescription and utilized this treatment regimen. Importantly, over 90% (47/52) of this cohort completed the prescribed four-week regimen. Four patients (7.7%) experienced temporary side effects, which dissipated after discontinuation: two altered taste/smell, one nausea/chills, and one blurry vision. No significant complications were reported. Conclusion: Nebulized ciprofloxacin-dexamethasone is a safe and tolerable treatment for adult patients after endoscopic airway surgery. The majority of patients were able to obtain, adhere to, and successfully utilize this medication in the outpatient setting. This study represents an important step in understanding the tolerability of this adjuvant treatment regimen.

Indexed as

airway stenosisciprofloxacin‐dexamethasoneendoscopyoutcomessafety

Identifiers

PMID40917875
PMCPMC12412411

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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.