Pediatric laser-assisted tympanostomy
| Autor: | W. Sean Conlon, Lance E. Jackson, Herbert Silverstein, Seth I. Rosenberg |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Retrospective review Co2 laser Adolescent business.industry Otitis Media with Effusion Laser assisted Middle Ear Ventilation Surgery Myringostomy Otorhinolaryngology Effusion Patient age Child Preschool Chronic Disease medicine Effective treatment Humans Laser Therapy Operating microscope business Child Follow-Up Studies |
| Zdroj: | The Laryngoscope. 111(5) |
| ISSN: | 0023-852X |
| Popis: | Objective To evaluate effectiveness of laser-assisted tympanostomy in treatment of pediatric patients with chronic otitis media with effusion. Study Design Retrospective review of 23 pediatric patients who received office laser-assisted tympanostomy. Methods A CO2 laser attached to an operating microscope with a microscope laser adaptor device or the handheld Oto-LAM (Needham, MA) was used to perform all of the tympanostomies. The average diameter of tympanostomy was 2 mm; on average, 13.6 W was applied for 0.13 seconds. Results Laser-assisted tympanostomy was performed on 37 pediatric ears (patient age range, 2–16 y) for the diagnosis of chronic otitis media with effusion. Average follow-up time was 4.7 weeks. At the time of the follow-up examination, 46% of the ears had no evidence of fluid and required no further intervention. Forty-nine percent of the ears required placement of pressure equalization tubes. The average SRT improved from 30.8 dB preoperatively to 21.03 dB postoperatively. Conclusions Laser-assisted tympanostomy appears to be an effective treatment for chronic otitis media with effusion in pediatric patients. |
| Databáze: | OpenAIRE |
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