Authors:Tarek Fouad Youssef and Mohamed Rifaat Ahmed
Otitis media with effusion is the most common cause of conductive hearing loss in the pediatric population. Insertion of ventilation tubes with or without adenoidectomy is the accepted and standard surgical procedure. CO2 laser myringotomy without tube placement has been advocated as an alternative treatment.
To compare long-term follow-up results of laser versus classical myringotomy with ventilation tube insertion over five years.
Materials and Methods
86 patients with bilateral otitis media with effusion were divided into two groups: laser myringotomy group and myringotomy with ventilation tube insertion group, with follow-up in hearing results and recurrence rates over five years.
The mean patency time of myringotomy in laser group was 23 days, while the mean patency time of the ventilation tubes ears was 4.0 months in myringotomy group. Twelve patients in laser group (13.9%) showed a recurrent otitis media with effusion compared to 9 patients in myringotomy group (10.4%).
Laser fenestration is a less effective alternative to myringotomy and tube placement. The recurrence rates after both procedures did not show statistical significance over long follow-up. It might be considered as an effective alternative to classical surgery and ideal for short-term ventilation.
Authors:Á. Bálint, Claudia Baule, S. Kecskeméti, I. Kiss, and S. Belák
Greiser-Wilke, I., Haas, L., Dittmar, K., Liess, B. and Moennig, V. (1993): RNA insertions and gene duplications in the nonstructural p125 region of pestivirus strains and isolates in vitro and in vivo . Virology 193 , 977
Authors:Tamás Regőczi, János Jósvay, András Bálint, János Csaba, Wanda Rákossy, Erzsébet Fodor, and István Kiss
Dalgic, A., Ersoy, E., Anderson, M. E. és mtsai:
A novel minimally invasive technique for insertion of peritoneal dialysis catheter. Surg. Laparosc. Endosc. Percutan Tech., 2002,
Anderson M. E