Laser myringoplasty for tympanic membrane atelectasis

Otolaryngol Head Neck Surg. 2008 Jul;139(1):47-50. doi: 10.1016/j.otohns.2008.01.018.

Abstract

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.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Ear Diseases / surgery
  • Follow-Up Studies
  • Humans
  • Lasers, Solid-State / therapeutic use*
  • Middle Aged
  • Myringoplasty / methods*
  • Retrospective Studies
  • Treatment Outcome
  • Tympanic Membrane / pathology*
  • Tympanic Membrane / surgery*