Zawiślak Jerzy, Polberg Krzysztof, Obszańska Bogusława, Stepulak Andrzej
Oddział Laryngologii z Chirurgia Szczekowo-Twarzowa, Zamościu.
Pol Merkur Lekarski. 2005 Sep;19(111):333-4.
The aim of the study was assessment of the qualities of ND-YAG laser assisted myringotomy as a treatment for secretory otitis media. Nd-Yag laser myringotomy was performed on 52 children (104 ears) mean age 6.8 years diagnosed with secretory otitis media and recurrent secretory otitis media (14.4%). Myringotomy was performed under general anesthesia using the laser (CWNd-YAG laser 3100 Sharplan). Adenoidectomy alone or with tonsillotomy was performed at the same time. Laser tympanostomies remained patent for 6-35 days. All tympanostomies healed with no noticeable scarring. In 15 ears pressure equalization tubes were inserted after myringotomy with laser. Septoplasty performed in 5 children. Laser myringotomy appears to be a safe, and easy to performed, alternative technique in the treatment of secretory otitis media.
本研究的目的是评估钕钇铝石榴石(ND-YAG)激光辅助鼓膜切开术治疗分泌性中耳炎的效果。对52名平均年龄6.8岁、被诊断为分泌性中耳炎和复发性分泌性中耳炎(14.4%)的儿童(104耳)实施了钕钇铝石榴石激光鼓膜切开术。鼓膜切开术在全身麻醉下使用激光(CWNd-YAG激光3100,Sharplan)进行。同时单独或联合扁桃体切除术进行腺样体切除术。激光鼓膜造口术保持通畅6至35天。所有鼓膜造口术均愈合,无明显瘢痕形成。15耳在激光鼓膜切开术后插入了鼓膜通气管。5名儿童进行了鼻中隔成形术。激光鼓膜切开术似乎是治疗分泌性中耳炎的一种安全、易于实施的替代技术。