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The feasibility of office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion: the duPont Hospital experience.

Abstract

OBJECTIVE

To determine the feasibility of inserting tympanostomy tubes in children using office-based laser-assisted tympanic membrane fenestration.

METHODS AND MATERIALS

Study consisted of a retrospective review of the charts of all children who underwent office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion from July 1, 1998 to August 31, 2000. Tetracaine eardrops were used for topical anesthesia. Fenestration was achieved with the OtoLAM flashscanner laser (ESC Sharplan, Yokneam, Israel).

RESULTS

Of the 127 patients (185 ears) who underwent laser-assisted tympanic membrane fenestration, 61 ears underwent tympanostomy tube insertion. Ten ears were treated for otitis media with effusion, 43 for recurrent acute otitis media, and eight for acute otitis media not responding to antibiotics. Fifteen ears had purulent effusion, five had a serous effusion, and 23 had mucoid middle ear fluid. Eighteen ears had no middle ear fluid. At the first follow-up visit, all tested ears had hearing of 20 dB or better. Two children had tubes that were blocked. Blockage occurred in ears that required more than one laser firing to penetrate the tympanic membrane. Otorrhea was present in 13 ears (21%). Otorrhea occurred exclusively in ears with purulent or mucoid middle ear fluid.

CONCLUSIONS

Office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion is a safe and effective alternative to tube placement in the operating room. The outcome compares favorably with previously published data.

Authors+Show Affiliations

Department of Otolaryngology, Thomas Jefferson University Hospital, 111 S. 11th Street, Philadelphia, PA 19134, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

11738691

Citation

Friedman, Oren, et al. "The Feasibility of Office-based Laser-assisted Tympanic Membrane Fenestration With Tympanostomy Tube Insertion: the duPont Hospital Experience." International Journal of Pediatric Otorhinolaryngology, vol. 62, no. 1, 2002, pp. 31-5.
Friedman O, Deutsch ES, Reilly JS, et al. The feasibility of office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion: the duPont Hospital experience. Int J Pediatr Otorhinolaryngol. 2002;62(1):31-5.
Friedman, O., Deutsch, E. S., Reilly, J. S., & Cook, S. P. (2002). The feasibility of office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion: the duPont Hospital experience. International Journal of Pediatric Otorhinolaryngology, 62(1), pp. 31-5.
Friedman O, et al. The Feasibility of Office-based Laser-assisted Tympanic Membrane Fenestration With Tympanostomy Tube Insertion: the duPont Hospital Experience. Int J Pediatr Otorhinolaryngol. 2002 Jan 11;62(1):31-5. PubMed PMID: 11738691.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The feasibility of office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion: the duPont Hospital experience. AU - Friedman,Oren, AU - Deutsch,Ellen S, AU - Reilly,James S, AU - Cook,Steven P, PY - 2001/12/12/pubmed PY - 2002/3/1/medline PY - 2001/12/12/entrez SP - 31 EP - 5 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 62 IS - 1 N2 - OBJECTIVE: To determine the feasibility of inserting tympanostomy tubes in children using office-based laser-assisted tympanic membrane fenestration. METHODS AND MATERIALS: Study consisted of a retrospective review of the charts of all children who underwent office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion from July 1, 1998 to August 31, 2000. Tetracaine eardrops were used for topical anesthesia. Fenestration was achieved with the OtoLAM flashscanner laser (ESC Sharplan, Yokneam, Israel). RESULTS: Of the 127 patients (185 ears) who underwent laser-assisted tympanic membrane fenestration, 61 ears underwent tympanostomy tube insertion. Ten ears were treated for otitis media with effusion, 43 for recurrent acute otitis media, and eight for acute otitis media not responding to antibiotics. Fifteen ears had purulent effusion, five had a serous effusion, and 23 had mucoid middle ear fluid. Eighteen ears had no middle ear fluid. At the first follow-up visit, all tested ears had hearing of 20 dB or better. Two children had tubes that were blocked. Blockage occurred in ears that required more than one laser firing to penetrate the tympanic membrane. Otorrhea was present in 13 ears (21%). Otorrhea occurred exclusively in ears with purulent or mucoid middle ear fluid. CONCLUSIONS: Office-based laser-assisted tympanic membrane fenestration with tympanostomy tube insertion is a safe and effective alternative to tube placement in the operating room. The outcome compares favorably with previously published data. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/11738691/The_feasibility_of_office_based_laser_assisted_tympanic_membrane_fenestration_with_tympanostomy_tube_insertion:_the_duPont_Hospital_experience_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165587601005912 DB - PRIME DP - Unbound Medicine ER -