E-ISSN 2602-4837
The efficacy of CO2 laser myringotomy in serous otitis media [Tr-ENT]
Tr-ENT. 2004; 12(2): 55-59

The efficacy of CO2 laser myringotomy in serous otitis media

Mete Kaan Bozkurt1, Mustafa Çalgüner

Objectives: We evaluated the efficacy of CO2 laser
myringotomy combined with adenoidectomy in children
with serous otitis media (SOM) unresponsive to
medical therapy and compared the recurrences in
the follow-up period with the control group who
underwent adenoidectomy and ventilation tube (VT)
insertion.
Patients and Methods: The CO2 laser myringotomy
group included 25 children with a mean age of 5.6
years and there were 10 children with a mean age of
6.3 years in the VT control group. The laser used
was a Sharplan 1030 CO2 laser, attached to Zeiss
Universal S3 operation microscope with a 300 mm
objective, using a Microspot optical delivery system.
Results: Mean (±SD) healing time was 13 (±2.16)
days in 4 ears with myringotomies less than 2 mm
diameters, and 25 (±2.34) days in 46 ears with
myringotomies with 2 mm diameters. During the 6
months follow-up period there were 11 recurrences
(22%) in CO2 laser group and 4 recurrences (20%)
in the control group, which was not statistically significant
(p>0.05).
Conclusion: We prefer laser myringotomy in SOM
cases who do not need long time middle ear ventilation;
we use the ventilation tubes in cases with thick
mucoid effusion and recurrent effusion after laser
myringotomy.

Keywords: Otitis media with effisuon/surgery; carbondioxide; lasers/therapeutic use; middle ear ventilation;tympanic membrane/pathology/surgery.

Seröz otitis media tedavisinde CO2 lazer miringotominin etkinliği

Mete Kaan Bozkurt1, Mustafa Çalgüner

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Anahtar Kelimeler: Effüzyonlu seröz otitis media/cerrahi;karbon dioksit; lazer/tedavi amaçlı; orta kulağın havalandı-rılması; kulak zarı/patoloji/cerrahi.

Mete Kaan Bozkurt, Mustafa Çalgüner. The efficacy of CO2 laser myringotomy in serous otitis media. Tr-ENT. 2004; 12(2): 55-59

Corresponding Author: Mete Kaan Bozkurt
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