Office-based laser assisted tympanic membrane fenestration in adults and children: pilot data to support an alternative to traditional approaches to otitis media
Office-based laser assisted tympanic membrane fenestration in adults and children: pilot data to support an alternative to traditional approaches to otitis media
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DOI：
10.1016/s0165-5876(00)00313-x
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发表时间：
2000-06-30
影响因子：
1.5
通讯作者：
Shaha, S
中科院分区：
文献类型：
--
作者：
Siegel, G;Brodsky, L;Shaha, S
目的：确定使用基于诊所的激光辅助鼓膜开窗术进行中间持续时间（类似于3周）中耳通气在解决成人和儿童渗出性中耳炎发作中的作用，否则这些患者将通过插入压力平衡管进行治疗。研究方法：对92例患者（162耳）进行了回顾性病历审查，以确定在办公室环境中与激光辅助鼓膜开窗术相关的实用性和技术挑战。回顾的临床特征包括：年龄，性别，积液持续时间，执行的季节，和听力和中耳开窗愈合后的健康状况。结果：69%的患者在开窗关闭后无积液; 68%的患者在开窗关闭后无积液。
Objectives: To determine the role of intermediate duration (similar to 3 weeks) middle ear ventilation using office-based laser assisted tympanic membrane fenestration in resolving an episode of otitis media with effusion in adults and children who otherwise would have been treated with insertion of pressure equalization tubes. Methods: A retrospective chart review of 92 patients (162 ears) was conducted to identify the utility and technical challenges associated with laser assisted tympanic membrane fenestration in an office setting. Clinical characteristics reviewed included: age, gender, duration of effusion, season performed, and hearing and health status of middle ear upon healing of the fenestration. Results: 69% of all patients were effusion free upon closure of the fenestration; 68% of those