D'Eredità Riccardo, Shah Udayan K
Department of Otolaryngology-Head and Neck Surgery, Division of Pediatric Otolaryngology, Vicenza Civil Hospital, Vicenza, Italy.
Int J Pediatr Otorhinolaryngol. 2006 Jun;70(6):1077-80. doi: 10.1016/j.ijporl.2005.11.003. Epub 2006 Jan 6.
To prospectively compare contact diode laser for myringotomy (CDLM) to myringotomy with tube insertion (M&T) for the surgical management of otitis media with effusion (OME) in children.
Prospective randomized controlled study at a tertiary care pediatric institution.
Thirty children for whom PE tube insertion was indicated were randomized for treatment by CDLM or by M&T, in order to investigate length of time for middle ear ventilation, and complication rates. Surgical time was measured, post-operative parental questionnaires were reviewed, and follow-up examinations were performed.
Middle ear ventilation by CDLM or M&T.
Middle ear ventilation by CDLM took an average of 4.1min, and was maintained for an average of 3.5 months, compared to surgical time of 10.2min for M&T, and duration of middle ear ventilation of 6.3 months. These differences were statistically significant (p=0.005 for surgical time, and p<0.001 for duration of ventilation). Complication rates were equivalent.
CDLM allowed for medium-duration middle ear ventilation in children compared to M&T. Further study to clarify the role of CDLM in the management of OME in children is indicated.
前瞻性比较接触式二极管激光鼓膜切开术（CDLM）与鼓膜切开置管术（M&T）治疗儿童分泌性中耳炎（OME）的手术效果。
在一家三级儿科医疗机构进行的前瞻性随机对照研究。
将30名有鼓膜置管指征的儿童随机分为CDLM组或M&T组进行治疗，以研究中耳通气时间和并发症发生率。记录手术时间，审查术后家长问卷，并进行随访检查。
采用CDLM或M&T进行中耳通气。
CDLM组中耳通气平均用时4.1分钟，平均维持3.5个月；而M&T组手术时间为10.2分钟，中耳通气持续时间为6.3个月。这些差异具有统计学意义（手术时间p = 0.005，通气持续时间p < 0.001）。并发症发生率相当。
与M&T相比，CDLM可使儿童获得中等时长的中耳通气。有必要进一步研究以明确CDLM在儿童OME治疗中的作用。
