Table 1: Published case reports of cyanoacrylate applications to the EAC and treatment details.
|
Study, Author (Year) |
Number of cases |
Solvent application |
Duration |
Intervention and adverse outcome (if any) |
|
Khan, et al. [8] |
1 |
Acetone under GA with no effect |
Unspecified |
Extraction under GA (dissection along plane) |
|
Gogia & Agarwal [2] |
1 |
Acetone under LA |
1 minute |
Extraction under LA |
|
Dimitriadis, et al. [3] |
3 |
Antibiotic ear drop |
Not specified |
Extraction under GA with TM perforation |
|
None |
- |
Conservative: glue plug detached after a “few months” |
||
|
None |
- |
Extracted under GA |
||
|
Bala, et al. [6] |
1 |
ichthammol glycerin without effect and then acetone |
ichthammol glycerin: 1 hour acetone: 30 minutes |
Extraction under LA |
|
Stasche, et al. (2008) |
2 |
Hydrogen peroxide |
Unspecified |
Complete removal from left EAC; partial removal from right complicated by otitis externa and myringitis warranting surgery under GA |
|
None |
- |
Extraction under GA (including tympanomeatal flap) |
||
|
Ogunleye (2002) |
1 |
Acetone |
Unspecified |
Unspecified |
|
Persaud [9] |
1 |
Warm peroxide (3%) - two pours |
10 minutes × 2 |
Removal without analgesia |
|
O’Donnell, et al. (1997) |
|
|
|
|
|
Abadir, et al. (1995) |
3 |
Acetone-soaked cotton wool ball placed over meatus |
10 minutes |
Careful extraction (no analgesia mentioned) |
|
Acetone-soaked cotton wool ball placed over meatus |
10 minutes |
Careful extraction (no analgesia mentioned) |
||
|
No solvent |
- |
Torn TM during removal under GA |
||
|
Pollock (1988) |
1 |
No solvent |
- |
Extraction under GA (piecemeal removal) |
|
Wight and Bull [10] |
1 |
No solvent |
- |
Extraction under GA (endaural incision) |