No abstract

No abstract

No abstract

Otolaryngology-Head and Neck Surgery August T999 patient age, clinical presentation, duration/severity of disease, demographics and early childhood exposures to daycare, tobacco smoke, bottle feeding, and pacifiers were compared with the technical factors of laser spot size, power setting, location of LAM on the tympanic membrane, and number of laser firings. Results: Older children with shorter duration of disease were more likely to resolve their effusions. Recurrence and subsequent cure and cure with subsequent recurrence were not uncommon. Epidemiologic factors did not appear uniformly to play a significant role in the success rate of LAM. Significant complications were rare, with a permanent perforation rate less than 0.8%. The technical factor of spot size did trend to longer duration of IDMEV. Power setting, location of the LAM on the tympanic membrane, and number of firings were irrelevant when outcome was measured. Conclusions: The success of LAM in the treatment of otitis media in children has shown to be significant. Patient selection for best results is increasingly important.