15 June 1988 Retrospective Analysis Of CO2 Laser Myringotomy
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Proceedings Volume 0907, Laser Surgery: Characterization and Therapeutics; (1988) https://doi.org/10.1117/12.945304
Event: 1988 Los Angeles Symposium: O-E/LASE '88, 1988, Los Angeles, CA, United States
Abstract
A retrospective review of the author's series of 91 carbon dioxide (CO2) laser myringotomy cases performed between 1983 and 1986 is presented. Patients with chronic otitis media with effusion (COME) were selected on the basis of possible benefit from shorter ventilation time than tympanostomy tube insertion. The proceedings were performed on an outpatient basis with topical iontophoretic anesthesia, which offers significant cost savings and a lack of possible complications. The CO2 laser gives clean precise 0.8mm perforations which remain open for 2-4 weeks, this shorter ventilation time minimizing the period of water precautions and other side effects. The laser perforations heal well. With a success rate of 52 % reported, which could be increased with careful patient selection, we feel that the advantages of carbon dioxide laser myringotomy over myringotomy plus intubation outweight the risk of recurrent otitis media with effusion formation in those patients to whom this procedure is applicable.
© (1988) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
Sidney P Lipman, Robert T Guelcher, "Retrospective Analysis Of CO2 Laser Myringotomy", Proc. SPIE 0907, Laser Surgery: Characterization and Therapeutics, (15 June 1988); doi: 10.1117/12.945304; https://doi.org/10.1117/12.945304
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