AI Article Synopsis
- A battery-powered heat myringotomy device was used to create a temporary opening in the eardrum for 1 to 3 weeks, aimed at treating chronic otitis media with effusion.
- In a study involving 10 pediatric and 15 adult patients, the procedure was performed under local anesthesia, avoiding the need for general anesthesia and traditional ventilation tubes in many cases.
- Results showed that the treatment was effective in 50% of pediatric ears and 40% of adult ears, with a discussion on reasons for failure and cost-saving potential provided.
Article Abstract
Heat myringotomy using a commercially available, battery powered device produced an opening in the tympanic membrane that persisted 1 to 3 weeks. The procedure was performed to treat chronic otitis media with effusion (COME) in lieu of ventilation tubes in 10 pediatric and 15 adult ears under office iontophoretic anesthesia. These patients were followed for a minimum of 3 months to assess efficacy. Fifty percent of pediatric ears were controlled, eliminating the need for general anesthesia and tube insertion. Forty percent of adult ears were controlled with heat myringotomy. A description of the procedure, discussion of possible reasons for failure, and analysis of potential cost savings are included.
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| http://dx.doi.org/10.1288/00005537-198501000-00011 | DOI Listing |
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