Browsing by Author "Wagenfeld, D. J. H."

Now showing 1 - 4 of 4
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    The negative effects of mucolytics in otitis media with effusion
    (Health & Medical Publishing Group, 1987) Van der Merwe, J.; Wagenfeld, D. J. H.
    Much controversy still exists in the treatment of otitis media with effusion. A double-blind randomised prospective trial during which bromhexine hydrochloride was compared with a placebo is reported. Information from 60 patients was analysed and the results reveal interesting findings on the effects of bromhexine on middle-ear clearance. The data clearly reveal that bromhexine retards resolution of the effusion. Further discussion of the literature gives insight into the controversy surrounding the treatment of middle-ear effusion. Steroids are proposed for further research and clinical trials.
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    Rinoliet (neussteen) geassosieer met chroniese otorree : 'n gevalbespreking
    (Health & Medical Publishing Group, 1986) Hoffmann, A. J.; Wagenfeld, D. J. H.
    A rare case of a 12-year-old girl with a nasopharyngeal rhinolith causing chronic unilateral otorrhoea is presented. The role of posterior rhinoscopy as an integral part of a routine otological examination is highlighted.
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    Timpanoplastiekoperasies in septiese gevalle : 'n nuwe tegniek
    (HMPG, 1981-08) Wagenfeld, D. J. H.
    The very high incidence of postoperative sepsis in tympanoplasty operations on ears with infected cholesteatoma prompted the development of a new technique to improve the control of local infection. An irrigation tube is placed into the mastoid antrum at the time of operation, through which the ear is irrigated in the postoperative period with an antibiotic solution. In 25 tympanomastoidectomy operations, only 6 patients developed postoperative sepsis, 5 of which were due to faulty administration of the antibiotic. In 13 tympanoplasty operations, 6 patients had an unsuccessful outcome. Four of these were due to poor patient selection. Systemic antibiotics are given immediately preoperatively, and continued in the postoperative period until the course has been completed.
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    Treatment of otitis externa with miconazole nitrate : a comparative study involving 85 cases
    (Health & Medical Publishing Group, 1983) Bak, J. P.; Wagenfeld, D. J. H.
    The hazards of neomycin in local preparations have recently been re-emphasized. Eighty-five patients with otitis externa were treated with one of two preparations between August 1980 and April 1982 - 54 were treated with a cream containing miconazole nitrate and hydrocortisone (Daktacort; Janssen) and 31 with a preparation containing neomycin (Kenacomb; Squibb); sixty eight per cent of the patients were cured within 1 week with both preparations. Most treatment failures were due to a resistant Pseudomonas aeruginosa. The miconazole cream proved as effective as the preparation containing neomycin in the first-line treatment of otitis externa. A gentamicin-containing steroid ointment was effective against the Pseudomonas infection.