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Assessment and management of chronic otitis externa Kesser 347

35 Wright A, Hawkins CH, Anggard EE, Harper DR. A controlled clinical trial of a therapeutic bacteriophage preparation in chronic otitis due to antibiotic resistant Pseudomonas aeruginosa : a preliminary report of efficacy. Clin Otolaryngol 2009; 34:349–357. An interesting, different, and potentially efficacious approach to treating COE with bacteriophages – viruses that kill bacteria. The article assumes bacterial infection underlies COE, which may not always be the case.

33 Fusconi M, Chiarini F, Taddei AR, et al. Chemical ear peeling: a simple technique for the treatment of chronic external otitis: how we do it. Clin Otolaryngol 2010; 35:424–429. A short ‘how to’ article without much data or long-term follow-up. Efficacy of this technique remains unproven. 34 Antonelli PJ, Schultz GS, Cantwell JS, et al. Inflammatory proteases in chronic otitis externa. Laryngoscope 2005; 115:651–654.

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