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28). A significant difference was noted between D0 and D28 for the treated ears (P=0.012) and not for the untreated ears (P=0.63). No cytological evidence of microbes was found for treated ECs at D28. These data suggest that the use of topical corticosteroids as proactive treatment is unlikely to increase the risk of secondary microbial overgrowth. The positive clinical effect of this proactive treatment seems to be supported through cytological and otoscopic improvement. These data suggest that the use of topical corticosteroids as pro