Laser myringoplasty for tympanic membrane atelectasis.
作者信息
Brawner J Travis, Saunders James E, Berryhill Wayne E
机构信息
Oklahoma University Health Sciences Center Department of Otorhinolaryngology, Oklahoma City, OK, USA.
出版信息
Otolaryngol Head Neck Surg. 2008 Jul;139(1):47-50. doi: 10.1016/j.otohns.2008.01.018.
OBJECTIVE
To review our experience with laser myringoplasty using a potassium-titanyl-phosphate (KTP) laser for pars tensa atelectasis.
STUDY DESIGN
Retrospective review.
METHODS
A pulsed diode KTP laser (532 nm) was used to tighten the tympanic membrane after lysis of middle ear adhesions through a myringotomy. A tympanostomy tube was then placed. Operative reports and clinic notes were reviewed.
RESULTS
We reviewed 34 procedures performed on 31 ears in 29 patients. The average time of follow-up was 10.5 months with a range of 1 to 30 months. Seventeen of 34 tubes (50%) extruded during the follow-up period. Eleven cases had follow-up with the tube extruded and TM intact. Two (18%) of those had progression of atelectasis. Two (6%) cases had operative perforations and both healed spontaneously.
CONCLUSION
Laser myringoplasty using a KTP laser for pars tensa atelectasis appears to be beneficial in selected patients. Patients should be followed closely for early tube extrusion and recurrent disease.
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