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Proceedings Paper

Retrospective Analysis Of CO[sub]2[/sub] Laser Myringotomy
Author(s): Sidney P Lipman; Robert T Guelcher
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Paper 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.

Paper Details

Date Published: 15 June 1988
PDF: 8 pages
Proc. SPIE 0907, Laser Surgery: Characterization and Therapeutics, (15 June 1988); doi: 10.1117/12.945304
Show Author Affiliations
Sidney P Lipman, Medical Arts Building (United States)
Robert T Guelcher, Medical Arts Building (United States)

Published in SPIE Proceedings Vol. 0907:
Laser Surgery: Characterization and Therapeutics
Kazuhiko Atsumi M.D.; Stephen N. Joffe M.D., Editor(s)

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