Paper-patch myringoplasty with CO2 laser for chronic TM perforation
Chronic tympanic membrane (TM) perforations are a common problem in otolaryngology. However, there are controversies of how best to treat TM perforation. Recently, we successfully managed TM perforation with paper patch after trimming the perforated TM margin with the CO 2 laser. The purpose of this...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2008-10, Vol.265 (10), p.1161-1164 |
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| creator | Lee, Sang Hyuk Jin, Sung Min Lee, Kyung Chul Kim, Myung Gu |
| description | Chronic tympanic membrane (TM) perforations are a common problem in otolaryngology. However, there are controversies of how best to treat TM perforation. Recently, we successfully managed TM perforation with paper patch after trimming the perforated TM margin with the CO
2
laser. The purpose of this report is to demonstrate the trial of this method and effectiveness. The authors conducted a retrospective case series from March 2000 to January 2005. Ninety patients underwent paper-patch myringoplasty with the CO
2
laser. The procedure was performed in an office setting under local anesthesia. We investigated perforation size and postoperative success rate. Successful closure of the TM was achieved in 52.2% of cases (47/90) without any severe complication. The procedure was successful in 16 of 19 (84.2%) cases in perforation smaller than 2 mm, 19 of 29 (63.0%) cases when the size was 2–4 mm, 10 of 25 (40.0%) cases when the size was 4–6 mm, and 2 of 17 (11.8%) cases when the size was ≥6 mm. A significant difference was found: Perforation with |
| doi_str_mv | 10.1007/s00405-008-0592-1 |
| format | Article |
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2
laser. The purpose of this report is to demonstrate the trial of this method and effectiveness. The authors conducted a retrospective case series from March 2000 to January 2005. Ninety patients underwent paper-patch myringoplasty with the CO
2
laser. The procedure was performed in an office setting under local anesthesia. We investigated perforation size and postoperative success rate. Successful closure of the TM was achieved in 52.2% of cases (47/90) without any severe complication. The procedure was successful in 16 of 19 (84.2%) cases in perforation smaller than 2 mm, 19 of 29 (63.0%) cases when the size was 2–4 mm, 10 of 25 (40.0%) cases when the size was 4–6 mm, and 2 of 17 (11.8%) cases when the size was ≥6 mm. A significant difference was found: Perforation with <4 mm had the higher closure rate (χ
2
test,
P
< 0.01). There was no correlation between the size of perforation and the number of patch graft (χ
2
test,
P
> 0.05). The results showed paper-patch myringoplasty after CO
2
laser trimming is simple and safe to perform, and suitable as an outpatient procedure, especially in small perforations (<4 mm).</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-008-0592-1</identifier><identifier>PMID: 18256851</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Audiometry, Pure-Tone ; Biological and medical sciences ; Chronic Disease ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Female ; Follow-Up Studies ; Head and Neck Surgery ; Hearing - physiology ; Humans ; Laser Therapy - methods ; Lasers, Gas - therapeutic use ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Myringoplasty - methods ; Neurosurgery ; Non tumoral diseases ; Otology ; Otorhinolaryngology ; Otorhinolaryngology. Stomatology ; Retrospective Studies ; Treatment Outcome ; Tympanic Membrane Perforation - physiopathology ; Tympanic Membrane Perforation - surgery ; Young Adult</subject><ispartof>European archives of oto-rhino-laryngology, 2008-10, Vol.265 (10), p.1161-1164</ispartof><rights>Springer-Verlag 2008</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-27eeb972634a8e7cd5e8aa1c87af0d3bbd102624d36fc9599575605012ed05fc3</citedby><cites>FETCH-LOGICAL-c372t-27eeb972634a8e7cd5e8aa1c87af0d3bbd102624d36fc9599575605012ed05fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-008-0592-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-008-0592-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20632321$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18256851$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Sang Hyuk</creatorcontrib><creatorcontrib>Jin, Sung Min</creatorcontrib><creatorcontrib>Lee, Kyung Chul</creatorcontrib><creatorcontrib>Kim, Myung Gu</creatorcontrib><title>Paper-patch myringoplasty with CO2 laser for chronic TM perforation</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Chronic tympanic membrane (TM) perforations are a common problem in otolaryngology. However, there are controversies of how best to treat TM perforation. Recently, we successfully managed TM perforation with paper patch after trimming the perforated TM margin with the CO
2
laser. The purpose of this report is to demonstrate the trial of this method and effectiveness. The authors conducted a retrospective case series from March 2000 to January 2005. Ninety patients underwent paper-patch myringoplasty with the CO
2
laser. The procedure was performed in an office setting under local anesthesia. We investigated perforation size and postoperative success rate. Successful closure of the TM was achieved in 52.2% of cases (47/90) without any severe complication. The procedure was successful in 16 of 19 (84.2%) cases in perforation smaller than 2 mm, 19 of 29 (63.0%) cases when the size was 2–4 mm, 10 of 25 (40.0%) cases when the size was 4–6 mm, and 2 of 17 (11.8%) cases when the size was ≥6 mm. A significant difference was found: Perforation with <4 mm had the higher closure rate (χ
2
test,
P
< 0.01). There was no correlation between the size of perforation and the number of patch graft (χ
2
test,
P
> 0.05). The results showed paper-patch myringoplasty after CO
2
laser trimming is simple and safe to perform, and suitable as an outpatient procedure, especially in small perforations (<4 mm).</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Audiometry, Pure-Tone</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Head and Neck Surgery</subject><subject>Hearing - physiology</subject><subject>Humans</subject><subject>Laser Therapy - methods</subject><subject>Lasers, Gas - therapeutic use</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Myringoplasty - methods</subject><subject>Neurosurgery</subject><subject>Non tumoral diseases</subject><subject>Otology</subject><subject>Otorhinolaryngology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Tympanic Membrane Perforation - physiopathology</subject><subject>Tympanic Membrane Perforation - surgery</subject><subject>Young Adult</subject><issn>0937-4477</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoWqs_wIvkorfo5GuzOUrxCyr1UM8hzWbtlv0y2SL996Z00ZunYYbnnRkehK4o3FEAdR8BBEgCkBOQmhF6hCZUcEGEYtkxmoDmigih1Bk6j3EDAFJoforOaM5klks6QbN32_tAeju4NW52oWo_u762cdjh72pY49mC4dT6gMsuYLcOXVs5vHzDKZUmdqi69gKdlLaO_nKsU_Tx9LicvZD54vl19jAnjis2EKa8X-n0GRc298oV0ufWUpcrW0LBV6uCAsuYKHhWOi21lkpmIIEyX4AsHZ-i28PePnRfWx8H01TR-bq2re-20WRaqDzPdALpAXShizH40vShamzYGQpmb84czJlkzuzNGZoy1-Py7arxxV9iVJWAmxGw0dm6DLZ1VfzlGGSccbbn2IGL_d6mD2bTbUObxPxz_Qcmd4UK</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Lee, Sang Hyuk</creator><creator>Jin, Sung Min</creator><creator>Lee, Kyung Chul</creator><creator>Kim, Myung Gu</creator><general>Springer-Verlag</general><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20081001</creationdate><title>Paper-patch myringoplasty with CO2 laser for chronic TM perforation</title><author>Lee, Sang Hyuk ; Jin, Sung Min ; Lee, Kyung Chul ; Kim, Myung Gu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-27eeb972634a8e7cd5e8aa1c87af0d3bbd102624d36fc9599575605012ed05fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Audiometry, Pure-Tone</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Head and Neck Surgery</topic><topic>Hearing - physiology</topic><topic>Humans</topic><topic>Laser Therapy - methods</topic><topic>Lasers, Gas - therapeutic use</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Myringoplasty - methods</topic><topic>Neurosurgery</topic><topic>Non tumoral diseases</topic><topic>Otology</topic><topic>Otorhinolaryngology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Tympanic Membrane Perforation - physiopathology</topic><topic>Tympanic Membrane Perforation - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Sang Hyuk</creatorcontrib><creatorcontrib>Jin, Sung Min</creatorcontrib><creatorcontrib>Lee, Kyung Chul</creatorcontrib><creatorcontrib>Kim, Myung Gu</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Sang Hyuk</au><au>Jin, Sung Min</au><au>Lee, Kyung Chul</au><au>Kim, Myung Gu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paper-patch myringoplasty with CO2 laser for chronic TM perforation</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>265</volume><issue>10</issue><spage>1161</spage><epage>1164</epage><pages>1161-1164</pages><issn>0937-4477</issn><eissn>1434-4726</eissn><abstract>Chronic tympanic membrane (TM) perforations are a common problem in otolaryngology. However, there are controversies of how best to treat TM perforation. Recently, we successfully managed TM perforation with paper patch after trimming the perforated TM margin with the CO
2
laser. The purpose of this report is to demonstrate the trial of this method and effectiveness. The authors conducted a retrospective case series from March 2000 to January 2005. Ninety patients underwent paper-patch myringoplasty with the CO
2
laser. The procedure was performed in an office setting under local anesthesia. We investigated perforation size and postoperative success rate. Successful closure of the TM was achieved in 52.2% of cases (47/90) without any severe complication. The procedure was successful in 16 of 19 (84.2%) cases in perforation smaller than 2 mm, 19 of 29 (63.0%) cases when the size was 2–4 mm, 10 of 25 (40.0%) cases when the size was 4–6 mm, and 2 of 17 (11.8%) cases when the size was ≥6 mm. A significant difference was found: Perforation with <4 mm had the higher closure rate (χ
2
test,
P
< 0.01). There was no correlation between the size of perforation and the number of patch graft (χ
2
test,
P
> 0.05). The results showed paper-patch myringoplasty after CO
2
laser trimming is simple and safe to perform, and suitable as an outpatient procedure, especially in small perforations (<4 mm).</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>18256851</pmid><doi>10.1007/s00405-008-0592-1</doi><tpages>4</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Audiometry, Pure-Tone Biological and medical sciences Chronic Disease Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Female Follow-Up Studies Head and Neck Surgery Hearing - physiology Humans Laser Therapy - methods Lasers, Gas - therapeutic use Male Medical sciences Medicine Medicine & Public Health Middle Aged Myringoplasty - methods Neurosurgery Non tumoral diseases Otology Otorhinolaryngology Otorhinolaryngology. Stomatology Retrospective Studies Treatment Outcome Tympanic Membrane Perforation - physiopathology Tympanic Membrane Perforation - surgery Young Adult |
| title | Paper-patch myringoplasty with CO2 laser for chronic TM perforation |
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