Tuesday, 3 November 2009

Use of GV Paint in ENT

Dr Ajit Man Singh writes
GENTIAN VIOLET PAINT was reccomended to me by my teacher on one post op myryngoplasty, where the repaired drum refused to dry up, and remained congested, despite anatomical closure.
I have since used it extensively in the ear: post tympanoplasty, mastoid cavities, otitis externa, otomycosis also, one teache erccomended for apthous ulcers, where also I have used.
I find that it does wonders.
however, I do not have any evidence of adverse effects, except fot the drycleaning bills of ones shirt.
Would appreciate inputs from others.

Dr N N Mathur Writes:

It is in fact an old and trusted paint. I never used it in ear post myringoplasty/mastoidectomy, but I have extensively used it on some small fistulas/defects that remain in neck following head neck surgery. It does work vey well. Fortunately such defects are less now with better radiation/ cautery/ antibiotics and postop care. Only problem with it is difficult assessment of the site post application.

Dr Anil Safaya (Oman)Writes;

We used to use GV paint extensively in cases like apthous stomatitis and I agree, the results used to be astounding !!!...I agree, I am also keen to know more inputs!!!

Blog Author Comments:
One study has linked long term exposure to large amounts of Gentian violet with cancer. The Food and Drug Administration in the US has determined that gentian violet has not been shown by adequate scientific data to be safe for use in animal feed. Use of gentian violet in animal feed causes the feed to be adulterated and is a violation of the Federal Food, Drug, and Cosmetic Act in the US. On June 28, 2007, the US food and Drug Administration issued an "import alert" on farm raised seafood from China because unapproved antimicrobials, including gentian violet, had been consistently found in the products.Read more

1 comment:

  1. hello sir,
    i have used it extensively in post of mastoid cavities.
    i have found few advantages with its use vis a vis BIPP.
    with GV paint the cavity remains moist for a longer period but it promotes neo osteogenesis so significantly that sometimes the whole of cavity gets obliterated and the ear canal gives the appearance of normal canal, as if patient hasn't had a mastoid surgery.
    but with BIPP the epithelisation is promoted pretty fast. in this however the cavity depth mostly remains more than in GV paint cases.
    i have seen very good results as regards epithelisation in myringoplasty and post op mastoid cases with oral administration of centella asiatica plant extract.
    http://dx.doi.org/10.1016/j.lfs.2003.09.055

    regards
    dr harpreet kochar

    ReplyDelete