Argon Laser in Human Tympanoplasty

Escudero, Luiz H.; Castro, A; Drumond, Milton; Porto, S. P. S.; Bozinis, D. G.; Penna, A. F. S.; Gallego-Lluesma, E.

doi:10.1001/archotol.1979.00790170022005

Cited by 59 publications

(27 citation statements)

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“…These include the overlay tympanoplasty [18], the underlay tympanoplasty [35], over underlay tympanoplasty [36]. Gelfilmsandwich tympanoplasty [37], Crown cork tympanoplasty [38], swinging door tympanoplasty [39], laser assisted spot welding techniques [40], and microclip techniques [41] and others like the fascial pegging [42], annular wedge tympanoplasty [43], loop tympanoplasty [44] which are but modifications of the basic technique. Office tympanoplasty techniques like the paper patching, lobule fat graft and the self-stabilizing tympanic membrane patchers [45].…”

Section: The Surgical Evolutionmentioning

confidence: 99%

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A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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The history of myringoplasty and tympanoplasty is one of the most interesting in the history of ear surgery. The aims and ambitions of otologists have evolved along with time and experience. The objective of this article is to give an idea about the evolution of tympanoplasty, thus giving inspiration to future surgeons in their quest for a perfect technique which would be as good as a normal ear and its hearing. The history of otology starts from the early Egyptian healers. Hippocrates in his time observed that ear infections may be cause of death especially in young children. Early surgeries were performed mainly for drainage in order to save the life of the child having the ear disease. With time and scientific developments newer methods of treatment started to evolve. The invention of antimicrobials and their usage threw a new light into the treatment of otology infections. Then after the advent of microscope and with better understanding of the anatomy and physiology of ear and its diseases treatment strategies and surgical planning kept on advancing. Surgeons with time have become more interested in returning back the hearing along with curing infection from ear. But the quest is on for the perfect surgical technique which would give best results with minimal maneuvering. History of tympanoplasty nearly sums up the history of evolution of otology as a whole. The quest is still on to devise a way so as to give maximum post-operative hearing using minimal instrumentation.

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Section: The Surgical Evolutionmentioning

confidence: 99%

“…These points of adherence are the areas of vascularization of the graft in the immediate post-operative period. Thus in this study they found out the use of laser in tympanoplasty techniques [52][53][54].…”

Section: Laser Assisted Spot Welding Techniquesmentioning

confidence: 99%

A Review on the History of Tympanoplasty

Sarkar

2012

Indian J Otolaryngol Head Neck Surg

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“…Its main advantages include decreased operative time, improved and enhanced wound healing with an immediately intraoperative watertight seal in the repair of tympanic membrane perforations, the success rate of graft take exceeding 90% [2,10] .…”

Section: Discussionmentioning

confidence: 99%

Utilization of CO<sub>2</sub> Laser for Temporal Fascia Graft Welding in Myringoplasty: An Experimental Study on Guinea Pigs

Youssef

Ahmed²,

Kassab³

2010

ORL

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An experimental study was undertaken to investigate the use of a CO₂ laser welding technique in myringoplasty. Albumin solder was used to fix a temporal fascia graft via an overlay transcanal approach. The results of the operative procedure were assessed by microscopic and histopathologic examination over an interval of 1, 2, 3 and 4 weeks postoperatively. Materials and Methods: Forty-eight adult guinea pigs were divided into two groups after permanent perforation of the tympanic membrane was created: laser-assisted myringoplasty group and surgical myringoplasty group. Laser beam power was 0.4 W, pulse duration 0.75 s, pulse interval 0.1 s and spot size 250 µm. Each experimental group was further subdivided into four subgroups of 6 animals each. Histological and microscopic findings of the tympanic membrane for both groups after 1, 2, 3, and 4 weeks were compared. Results: Microscopic examination of the tympanic membrane showed high success rate in the laser-assisted myringoplasty group compared to the control group. Histological evaluation for the tympanic membrane showed complete repair of the tympanic membrane in the laser-assisted myringoplasty group. Conclusion: Laser-assisted myringoplasty using CO₂ might be a promising new method in surgical myringoplasty.

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“…Tympanoplasty assisted by laser was first carried out by Escudero et al [18] in 1979. In all of their 7 published cases, the safe adherence of the novomembrane to the drum remnant and the bony tympanic ring was promoted by argon laser.…”

Section: Discussionmentioning

confidence: 99%

KTP-532-Laser-Assisted Tympanoplasty

Gerlinger¹,

Pytel²

2001

Otorhinolaryngol Nova

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Objectives: The aim of this paper was to give a general review on appropriate applications (cutting, vaporization, coagulation) of the KTP laser in chronic ear surgery. Patients: Between December 1997 and December 2000, 46 laser-assisted tympanoplasties were carried out by the first author. Out of the 46 patients, 29 were female and 17 were male. The patients ranged in age from 4 to 66 years with a median of 32.5 years. Methods: The power of the laser applied was between 1 and 3 W, usually being 2 W. The mode of the application was either continuous or pulsing. In case of the latter mode, the length of the pulse was generally 0.2 s. The laser light was directed to the microscopic field with a flexible fiber scope by means of a hand-held probe. The diameter of the fiber scope was 0.2 mm. Results: Of the 32 patients who underwent combined-approach tympanoplasties, 19 had already undergone a second-look procedure. Residual cholesteatoma pearls were found in 2 cases (10%). The remaining 14 patients underwent laser-assisted myringoplasties. Neither facial palsy nor sensorineural hearing loss occurred. No postoperative infection or vertigo was noted. Five patients experienced moderate postoperative pain after the third postoperative day. Conclusions: The authors’ impression is that the KTP laser allows excellent haemostasis during chronic ear surgery and enables the surgeon to obtain a more effective disease removal in a bloodless field. Using the laser, cochlear trauma can be avoided.

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Argon Laser in Human Tympanoplasty

Cited by 59 publications

References 1 publication

A Review on the History of Tympanoplasty

A Review on the History of Tympanoplasty

Utilization of CO<sub>2</sub> Laser for Temporal Fascia Graft Welding in Myringoplasty: An Experimental Study on Guinea Pigs

KTP-532-Laser-Assisted Tympanoplasty

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