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Treatment of chronic otitis externa by KTP/532 laser

Published online by Cambridge University Press:  29 June 2007

B. N. Kumar ,
R. M. Walsh ,
R. G. Courteney-Harris  and
P. S. Wilson
B. N. Kumar*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent Department of Communication and Neuroscience, University of Keele, Keele, UK.
R. M. Walsh
Affiliation:
Department of Communication and Neuroscience, University of Keele, Keele, UK.
R. G. Courteney-Harris
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent
P. S. Wilson
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent
*
Address for correspondence: B. N. Kumar, D.L.O., F.R.C.S., Specialist Registrar in ENT, North Staffordshire Royal Infirmary, Stoke-on-Trent, ST4 7LN. Fax: 01782-554470
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Abstract

The traditional meatoplasty operations performed for chronic otitis externa, which has entered the ‘fibrotic’ phase, are often unsatisfactory because the results in terms of canal patency, hearing gain and patient satisfaction are variable. Although the use of laser in chronic ear surgery is well recognized, it has not been previously reported as a meatoplasty technique. Ten KTP laser meatoplasty operations were performed on eight patients with chronic otitis externa. This pilot study shows the technique to be effective, fast and with a high patient satisfaction rate in the short-term (mean follow-up period 9.3 months). The average increase in hearing thresholds was 24 dB HL. Significant patient benefit was obtained in at least six out of eight patients using the Belfast rule of thumb. The technique has many advantages over the traditional meatoplasty operations but the long-term results require evaluation.

Keywords

Otitis externaLaser surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 12 , December 1997 , pp. 1126 - 1129
Copyright
Copyright © JLO (1984) Limited 1997

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Footnotes

Presented at the Section of Otology meeting of the Royal Society of Medicine, London, March 1997, and at the Annual Meeting of the British Medical Laser Association, Jersey, June 1997.

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