Atypical indications for OtoScan laser-assisted myringotomy

John P. Bent, Max M. April, Robert F. Ward

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

Objective: To describe the role of OtoScan laser-assisted myringotomy (OtoLAM) for indications other than chronic otitis media or recurrent acute otitis media. Study Design: Cross-sectional review. Methods: Twenty-seven office-based OtoLAM procedures were performed in 21 patients for "atypical" reasons. The indications included middle ear dysfunction with necessary air travel (n = 10) or hyperbaric oxygen treatment (n = 6), mastoiditis with postauricular cellulitis (n = 2), canal exostosis prohibiting tympanostomy (n = 1), acute otitis media accompanied by seizures (n = 1), and chronic middle ear effusion in a patient with hemophilia (n = 1). Results: In each of the 20 cases available for follow-up, middle ear disease resolved with closure of the laser-assisted myringotomy. At a later date, two patients (10%) underwent another OtoLAM in the opposite ear and four patients (20%) required repeat OtoLAM in the same or both ears. Three patients (15%) ultimately underwent myringotomy tube placement because of recurrent middle ear dysfunction. Conclusions: Although this report contains preliminary data, the data suggest that OtoLAM may provide an additional option in the care of certain patients who have previously been treated with myringotomy tubes.

Original languageEnglish (US)
Pages (from-to)87-89
Number of pages3
JournalLaryngoscope
Volume111
Issue number1
DOIs
StatePublished - Jan 1 2001

Keywords

  • Air travel
  • Barotrauma
  • Canal exostosis
  • Laser-assisted myringotomy
  • Mastoiditis

ASJC Scopus subject areas

  • Otorhinolaryngology

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