Abstract
Purpose: Assess the clinical impact of combining sodium bicarbonate solution ear baths with perisone cream for treating fungal otitis externa using the VAS endoscopic scoring system.
Methods: In this study, 80 patients diagnosed with fungal otitis externa at our hospital between September 2023 and April 2024 were included. The experimental cohort received a combination of sodium bicarbonate solution and perisone cream, while the control group was administered saline along with perisone cream. Endoscopic assessments of the cleanliness of the external ear canal were conducted before and after treatment using the VAS scoring system. Compared and evaluated the endoscopic VAS scores at various time points and levels to assess the efficacy of combining sodium bicarbonate solution with perisone cream in treating fungal otitis externa.
Results: In the treatment of fungal otitis externa, significant differences in VAS scores between the experimental and control groups were observed on day 4 (t = -4.391, p < 0.001), signifying a notably superior treatment effect in the experimental group compared to the control group. By day 7, another comparison of VAS scores revealed continued substantial discrepancies between the two groups (t = -5.754, p < 0.001), with the therapeutic efficacy in the experimental group persisting as significantly better than that in the control group.
Conclusions: The synergistic use of sodium bicarbonate solution and perisone cream has demonstrated exceptional efficacy in treating fungal otitis externa. These results underscore the importance of broader adoption of this regimen within clinical settings, highlighting its significant potential for widespread application.