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.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Ahmed MN, Saunders N, Bhutta MF. The Risks of Aural Irrigation—Reply. JAMA Otolaryngol Head Neck Surg. Published online May 21, 2020. doi:10.1001/jamaoto.2020.0953
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: