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Ear Protection in CSOM

It is important to keep the ear dry to prevent recurring inflammation and subsequent re-infection of the middle ear mucosa in the presence of eardrum perforation.  Water, shampoo, soap, and body bath are amongst the usual agents which need attention.  The methods include wearing shower cap to cover the ear as well, packing the concha with cotton ball smeared with oil-based liquid or cream such as vaseline or olive oil, and using ear plug while taking shower.  Swimming and scuba diving are prohibited, and contact water sports are strongly discouraged until the perforation closed naturally or repaired..

Figure shows packing of the conchal bowl and the introitus of ear canal 

by using  a moldable silicone putty which can be reused after cleaning.

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