Explore this issue:January 2014
Otologic surgery, performed for a variety of disorders such as chronic otitis media with or without tympanic membrane perforation, cholesteatoma, and otosclerosis can be classified as clean, clean-contaminated, or contaminated. Regardless of classification, these cases are generally associated with low rates of infection and high success rates. Peri-operative antibiotics have been advocated to minimize infectious complications such as wound infection, purulent otorrhea, labyrinthitis, and tympanic membrane graft failures; however, their routine use for otologic surgery remains controversial. In this Triological Society Best Practice review, we examined the evidence regarding the use of prophylactic antibiotics in otologic surgery.