Table I.
Characteristics of SSI patients. Eleven patients were diagnosed with SSI during the follow-up. (CWU: Canal Wall Up, CWD: Canal Wall Down, Scar infl.: scar inflammation, Purulent otor.: purulent otorrhoea, Atb: antibiotic therapy, Hosp.: hospitalisation).
Early SSI | Late SSI | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Case number | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 |
Age (y) | 53 | 39 | 59 | 16 | 48 | 31 | 23 | 68 | 12 | 17 | 40 |
Sex | F | M | M | M | M | F | F | F | M | M | M |
Otorrhoea during the previous 6 months |
No | Yes | Yes | No | Yes | Yes | Yes | No | No | No | Yes |
Pre-operative antibiotic therapy |
No | Local | Oral, Local |
No | No | No | No | No | No | No | No |
Pre-operative ear examination |
Wet | Wet | Wet | Dry | Wet | Dry | Dry | Dry | Dry | Dry | Wet |
Cholesteatoma | No | No | Yes | Yes | No | No | Yes | Yes | No | No | Yes |
Drilling | No | No | Yes | Yes | No | Yes | Yes | Yes | No | No | Yes |
Technique | CWU | CWU | CWD | CWU | CWU | CWU | CWU | CWD | CWU | CWU | CWD |
Autologous graft | Cartilage | Cartilage, fascia, bone |
Cartilage | No | Fascia | Cartilage, fascia |
Cartilage, fascia, bone |
Cartilage | Cartilage, fascia |
Cartilage | Cartilage, fascia |
Foreign material | No | No | Fibrin Glue |
No | Gelatine Sponge |
Gelatine Sponge |
No | Fibrin Glue |
No | No | Fibrin Glue |
Resorbable suture | No | No | No | No | No | No | Yes | No | Yes | No | No |
Intravenous intraoperative antibiotic administration |
No | Yes | No | No | Yes | No | No | No | No | No | Yes |
Oral postoperative antibiotic administration |
Yes | Yes | No | Yes | Yes | No | No | No | No | No | Yes |
NNIS score a | 2 | 2 | 2 | 1 | 1 | 0 | 1 | 1 | 1 | 1 | 2 |
Clinical examination at SSI diagnosis |
Scar infl., purulent otor. |
Scar infl. | Purulent otor. |
Purulent otor. |
Purulent otor. |
Purulent otor. |
Purulent otor. |
Purulent otor. |
Pain, purulent otitis media |
Purulent otor. |
Pain, purulent otor. |
Time to SSI diagnosis after surgery (days) |
3 | 7 | 11 | 30 | 90 | 100 | 116 | 122 | 150 | 157 | 160 |
Treatment of SSI | Atb, hosp., surgery |
Atb, hosp. |
Atb | Atb | Atb | Atb | Atb | Atb | Atb | Atb | Atb |
NNIS score: one point given for each of the following criteria: ASA score of 3-5, contaminated or dirty-infected surgery and surgery lasting longer than 60 minutes.