Abstract
Background:Otitismediawitheffusion(OME)isaleadingcauseofdifficultyinhearinginpaediat-ricpopulation.Otitismediawitheffusionmustbedetectedandmanagedearlytopreventconductivehearinglossinchildren.Itwasaimedtocompareresultsoflasermyringotomyandventilationtubeinsertion,intermsofhearingimprovementandrecurrenceofMiddleeareffusion(MEE).Methods:ThisrandomizedcontrolledtrialwasconductedfromFebruary2012toJanuary2015.Childrenof4–12yearsofagewithdecreasedhearingduetoOMEwereincludedinthestudy.Thesechildrenwereinvestigatedwithpuretoneaudiometry(PTA)andtympanometrytoconfirmconductivehearingloss.Patientswereputin2groups,grouponecomprisedofpatientstreatedwithlasermyringotomyandgroup2,treatedwithventilationtubeinsertion.Theobjectivewastoevaluateandcomparere-sultsofthetwoproceduresintermsofresolutionofmiddleeareffusion(MEE)andimprovementofhearing.Thetwoprocedureswerealsocomparedintermsofcomplicationslikeotorrhea,persistenceofperforation,hypertrophicscarandthinningoftympanicmembrane(TM).Results:Middleearef-fusionclearedin35outof68earswithlasermyringotomy(LM)ascomparedto52outof62earswithventilationtubes(VT).Themyringotomywasstillpatentin21earstreatedwithLMwhiletubewasinsitein50yearswithVTafter3months.ThehearinglevelimprovedwithLMby10–15dBafterfirst3months.Conclusion:TheaiminOtitismediawitheffusionisventilationoftympaniccavity.Lasermyringotomycanbesubstitutetoventilationtubeinsertion(VT).ButitremainspatentforshortertimeandlesseffectivethanVT.TheearswithrefractoryorrecurrentMEEshouldhaveVTinsertion
Dr.MuhammadYousaf,, SuhailAhmadMalik, ,TahirHaroon. (2016) LASERMYRINGOTOMYVERSUSVENTILATIONTUBESINOTITISMEDIAWITHEFFUSION, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 28, Issue 4.
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