World Class ENT Plastic and Laser Surgeon
24 hrs after nasal surgery, nasal packs (Merocel) are removed.This pack is like a compressed gel and not at all painful while removing.In olden days ribbon gauze soaked with BIPP or antibiotic ointment were used. BIPP, bismuth iodoform paraffin packs were very popular for nasal and ear surgery, but it is hard to get it in India.It is a wonderful stuff,except the pungent smell.
24 hrs after nasal surgery, nasal packs (Merocel) are removed.This pack is like a compressed gel and not at all painful while removing.In olden days ribbon gauze soaked with BIPP or antibiotic ointment were used. BIPP, bismuth iodoform paraffin packs were very popular for nasal and ear surgery, but it is hard to get it in India.It is a wonderful stuff,except the pungent smell.
With the advent of more expensive modern medications like antibiotics , there are some good old medications now going to oblivion. There was a time when a pharmacist used to dispense these medications, but gone are those days. Now everything comes in blister packs and fancy labels.
I had the privilege to work with a veteran ENT consultant some 30 years ago in UK, who participated in the First World War that was before the Penicillin Era. He used to tell us the stories of great invention in the history of medicine, of the life saving Penicillin. It was used only in serious life threatening patients. Penicillin was a controlled drug, they used to keep a register and only the registrar has the key to the penicillin cupboard.
There are some remarkable medications used in ENT practice still works
This was used before the penicillin era for packing the war wounds.
We still Use this wonderful product to pack mastoid cavities after mastoidectomy surgery. There is no adverse effect by using BIPP packs; one can leave the pack for weeks or months. The longer you leave it is better.
Also used to pack the nose in Epistaxis patients when all the other packing fail. But the stringent smell is not very pleasant.
Why not try in MRSA patient
What is it?
A viscous ointment, brownish black, with a strong, characteristic, empyreumatic odor, soluble in water and in glycerin; obtained by the destructive distillation of certain bituminous schists, sulfonating the distillate and neutralizing the product with ammonia.
The clinical efficacy of glycerine-ichthammol may be due to an anti-inflammatory action of ichthammol or a dehydrating effect of glycerin on the edematous ear canal. Its antimicrobial activity and antifungal, against the common organisms in otitis externa is well known. It has analgesic and stimulant property too. It is used in 10-20% concentrations in an ointment .It is not fully understood how it works, but it works, it is magic
Uses
In Otititis externa, funrunculosis of the ear, apply on the face who has mumps
Why not try in MRSA patients?
As a child my family doctor has used it in my throat when I used to get sore throat, as I vaguely remember.
Used to be very popular in those days. But now no one knows how to make it.
Dispensing Mandls Paint- To make 20 ml-Iodine 0.25gm, add Potassium 0.5gm, menthol oil 4 drops, glycerine and distilled water.
