- Original Article
- Open Access
Diode laser myringotomy for short-term middle-ear ventilation: a pilot study on children
The Egyptian Journal of Otolaryngology volume 29, pages 230–234 (2013)
The aim of the study was to evaluate diode laser myringotomy (DLM) in children for the management of Eustachian tube and middle-ear disorders that require myringotomy for short-term treatment.
This is a prospective clinical study.
Patients and methods
The study comprised 20 children selected to undergo DLM for middle-ear ventilation as a mode of treatment for recurrent acute serous otitis media; these children suffered from persistent middle-ear effusion and had experienced failure of medical treatment for at least 8 weeks. Postoperative weekly visits to evaluate the myringotomy opening (MO) were carried out until healing was recorded. The Eustachian tube and hearing ability were evaluated preoperatively and postoperatively 4 weeks after healing of the tympanic membrane. Cases were deemed to be failed when the MO closed early within the second week postoperatively without improvement in hearing, or the myringotomy persisted until the end of the third month postoperatively. Outcome measures were the state of the MO and of the ear drum, the patency time of the myringotomy, improvement in hearing and Eustachian tube function and incidence of operative and postoperative complications.
The mean operative time was 5 min. No operative complications occurred. Procedural success was achieved in 16/20 ears (80%). Two ears showed postoperative persistent perforations, and two recorded early closure of the MO. The mean improvement in the air/bone gap was 12 dB for the successful cases. Twelve ears with healed MOs showed type A curve (75%). Four ears showed type C curve (25%) and needed further management.
DLM is useful in children for the management of Eustachian tube and middle-ear disorders needing myringotomy for short-term treatment.
Hirsch BE. Otitis media, myringotomy, and tympanostomy tubes. Ch 107, Sec 15. In: Myers EN, editor. Operative otolaryngology, head and neck surgery. 1st ed. Philadelphia, Pennsylvania, USA:W.B. Saunders Company;1997. pp. 1236–1245.
Silverstein H, Kuhn J, Choo D, Krespi PY, Rosenberg SI, Rowan PT. Laser assisted tympanostomy. Laryngoscope 1996;106:1067–1074.
Sedlmaier B, Jovanovic S. Laser myringotomy. Ch 18. In: Oswal V, Remacle M, editors. Principles and practice of lasers in otorhinolaryngology and head and neck surgery. 1st ed. The Hague, the Netherlands:Kugler Publications; 2002. pp. 325–333.
D’Eredit R, Shah UK. Contact diode laser myringotomy for medium duration middle ear ventilation in children. Int J Pediatr Otorhinolaryngol 2006;70:1077–1080.
Silverstein H, Rosenberg SI, Arruda J. Laser-assisted tympanostomy. Ch 18. In: Blitzer A, Pillsbury HC, Jahn AF, Binder WJ, editors. Office-based surgery in otolaryngology. 1st ed. Stuttgart, New York:Thieme Medical Publishers; 1998: pp. 109–112.
Zanetti D, Piccioni M, Nassif N, Campovecchi C, Redaelli de Zinis LO. Diode laser myringotomy for chronic otitis media with effusion in adults. Otol Neurotol2005;26:12–18.
Koopman JP, Reuchlin AG, Kummer EE, Boumans LJ, Rijntjes E, Hoeve LJ, et al.. Laser myringotomy versus ventilation tubes in children with otitis media with effusion: a randomized trial. Laryngoscope 2004;114:844–849.
Prokopakis EP, Lachanas VA, Cristodoulou PN, Velegrakis GA, Helidonis ES. Laser-assisted tympanostomy in pediatric patients with serous otitis media. Otolaryngol Head Neck Surg 2005;133:601–604.
Sedlmaier B, Jivaniee A, Gutzler R, Huscher D, Jovanovic S. Ventilation time of the middle ear in otitis media with effusion (OME) after CO2 laser myringotomy. Laryngoscope 2002;112:661–668.
Conflicts of interest
There are no conflicts of interest.
About this article
Cite this article
Hegazy, H.M. Diode laser myringotomy for short-term middle-ear ventilation: a pilot study on children. Egypt J Otolaryngol 29, 230–234 (2013). https://doi.org/10.7123/01.EJO.0000433255.79088.1b
- diode laser
- eustachian tube dysfunction
- middle ear effusion
- middle ear ventilation