Laser myringoplasty for tympanic membrane atelectasis.
July 3rd, 2008 | by admin |Laser myringoplasty for tympanic membrane atelectasis.
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.
Brawner JT, Saunders JE, Berryhill WE.
Oklahoma University Health Sciences Center Department of Otorhinolaryngology, Oklahoma City, OK.