Article: Topical aminoglycosides? No. The case against using these agents in chronic ear disease. (Debate).

Dr. Haynes and I will debate the following resolution:

Be it resolved that the administration of topical aminoglycoside-containing drugs into the middle ear should be avoided entirely.

I am not usually endeared to extreme points of view, but I am going to argue that it is extremely unwise to use aminoglycoside-containing otic drops to treat middle ear disease, especially considering what we know about inner ear toxicity--not to mention what lawyers know about it.

There is no question that topical aminoglycosides have historically had a role to play in the treatment of external otitis, post-tympanostomy tube otorrhea secondary to an infection or ...

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