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Comment & Response
May 21, 2020

The Risks of Aural Irrigation—Reply

Author Affiliations
  • 1University of Leeds School of Medicine, Leeds, United Kingdom
  • 2Department of ENT, Worthing Hospital, Worthing, United Kingdom
  • 3Department of ENT, Royal Sussex County Hospital, Brighton, East Sussex, United Kingdom
JAMA Otolaryngol Head Neck Surg. Published online May 21, 2020. doi:10.1001/jamaoto.2020.0953

In Reply We thank Milkov and Pazardzhikliev for their report of a second case of permanent facial paralysis and hearing loss following aural irrigation. In the case we reported1 the ear discharge did not undergo testing with a microbiological culture, but the condition did respond to our prescribed antibiotic treatment of 250 mg of oral ciprofloxacin twice daily for 1 month. The patient was not known to have diabetes.

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