초록 열기/닫기 버튼
Backgroud and Objectives：This study is to find out whether laser tympanostomy (LT) with tympanostomy tube (TT) insertion has some potential role for the treatment of children with chronic otitis media with effusion (OME) under the topical anesthesia. Subjects and Method： (2- 7 yrs old, 139 ears) for LT with TT insertion under topical anesthesia. Folowing LT, T insertion was done if the middle ear efusion was mucoid or if middle ear mucosa was inflammed, or if the child had poor prognostic factors. Results：Ninety-four ears (68% ) had mucoid efusion, 18 ears (13% ) serous effusion, 11 ears (8% ) purulent effusion, and 16 ears (12% ) were dry. It was determined that TT insertion was not necesary in 26 ears (19% ). T insertion into the laser tympanostomy opening was tried on the other 113 ears. TT insertion had a success rate of 81% (91/13 ). After 3 months of folow-up, LT that did not need TT insertion showed 81% (21 ears) resolution rate. Therefore, the total eficacy of LT with TT insertion under topical anesthesia was 85%. Conclusion：Laser tympanostomy with T insertion resulted increased efficacy. Also, compared to knife myringotomy, it sems to have a potential role for lowering
키워드열기/닫기 버튼
Otitis media with effusion· Midle ear ventilation· Lasers.
