Nonshaved Ear Surgery: Effect of Hair on Surgical Site Infection of the Middle Ear/Mastoid Surgery and Patients’ Preference for the Hair Removal
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This study aimed 1) to compare the rates of surgical site infection(SSI) between two groups with and without preoperative hair shaving, 2) to comparethe bacterial colonization just before the skin incision between them, and 3) to evaluate people’spreference for the hair shaving. Subjects and Methods: The retrospective study enrolledcases in which middle ear and mastoid surgery was performed with as well as withouthair removal. Main measurement outcomes were the SSI rate within 3 months following thesurgery, bacterial culture results obtained from the incision area just before the skin incision,and questionnaire to evaluate the preference for hair shaving from patients withchronic suppurative otitis media but without experience with the ear surgery. Results: Thisstudy did not show any difference in the rates of SSI and bacterial colonization betweentwo groups with and without preoperative hair shaving. Most patients without experiencewith the ear surgery chose the nonshaved ear surgery, even though the questionnaire presenteda comment as follow; “Your hair will always grow back as the growth speed ofabout 1.25 cm per month.” Conclusions: There is no evidence showing that preoperativeshaving of the surgical site is helpful for the SSI than no hair removal. Nonshaved middle earand mastoid surgery via postauricular approach appears to be preferable. Contrary to doctors’popular belief, the hair shaving can cause psychological discomfort, especially for women. Now is the time to keep the balance between the professional’s perspective and the patients’preferences.
Abstract
This study aimed 1) to compare the rates of surgical site infection(SSI) between two groups with and without preoperative hair shaving, 2) to comparethe bacterial colonization just before the skin incision between them, and 3) to evaluate people’spreference for the hair shaving. Subjects and Methods: The retrospective study enrolledcases in which middle ear and mastoid surgery was performed with as well as withouthair removal. Main measurement outcomes were the SSI rate within 3 months following thesurgery, bacterial culture results obtained from the incision area just before the skin incision,and questionnaire to evaluate the preference for hair shaving from patients withchronic suppurative otitis media but without experience with the ear surgery. Results: Thisstudy did not show any difference in the rates of SSI and bacterial colonization betweentwo groups with and without preoperative hair shaving. Most patients without experiencewith the ear surgery chose the nonshaved ear surgery, even though the questionnaire presenteda comment as follow; “Your hair will always grow back as the growth speed ofabout 1.25 cm per month.” Conclusions: There is no evidence showing that preoperativeshaving of the surgical site is helpful for the SSI than no hair removal. Nonshaved middle earand mastoid surgery via postauricular approach appears to be preferable. Contrary to doctors’popular belief, the hair shaving can cause psychological discomfort, especially for women. Now is the time to keep the balance between the professional’s perspective and the patients’preferences.
참고문헌 (13)
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