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Endoscopy-aided laser therapy for intractable granular myringitis

Published online by Cambridge University Press:  10 March 2006

C H Jang ,
Y H Kim ,
Y B Cho  and
P C Wang
C H Jang
Affiliation:
Department of Otolaryngology, Chonnam National University Medical School, Gwangju, Korea Research Center for Resistant Cells, School of Medical, Chosun University, Gwangju, Korea New Technology Development and Laser Application Center, Chosun University, Gwangju, Korea
Y H Kim
Affiliation:
Su ENT Clinic, Kunsan, Korea
Y B Cho
Affiliation:
Department of Otolaryngology, Chonnam National University Medical School, Gwangju, Korea
P C Wang
Affiliation:
Department of Otolaryngology, Cathay General Hospital, Taipei, Taiwan
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Abstract

Objective: We report our technique and results for endoscopy-aided CO2 laser therapy for the treatment of intractable granular myringitis, as an out-patient office procedure.

Materials and methods: A total of 21 patients (14 women and seven men; mean age 32.6 years) were retrospectively reviewed, all of whom suffered from intractable granular myringitis and had undergone endoscopy-aided laser treatment. Granulation tissue was vaporized for one to two seconds with a CO2 laser (spot size 0.5–1 mm with a power setting of 5–10 W in continuous mode). The mean follow-up period was 11 months.

Results: Eighteen of the 21 patients (85 per cent) were cured after a single treatment. Three patients with the diffuse form of the disease required repeat laser treatments coupled with self-irrigation with a diluted vinegar solution. We noted no perforations of patients' tympanic membranes after laser vaporization. We also observed no recurrences over follow-up periods ranging from three months to 2.6 years. Our laser procedure produced no adverse effect on hearing thresholds, nor were any other complications observed.

Conclusion: Our results suggest that endoscopy-aided CO2 laser ablation is a reliable and minimally invasive method associated with low rates of recurrence and a low incidence of complications. It can be conducted as an office procedure.

Keywords

Tympanic MembraneGranulation TissueLaser Surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 120 , Issue 7 , July 2006 , pp. 553 - 555
Copyright
2006 JLO (1984) Limited

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