CO2 laser myringoplasty using a handheld fiber

We performed laser myringoplasty to treat retraction pockets of the tympanic membrane using a handheld CO2 laser. Similar laser myringotomy techniques have been described with both the line of site CO2 and KTP lasers. We report the efficacy the handheld CO2 laser for treatment of retraction pockets. 22 patients representing a total of 29 ears were treated using this technique. Handheld CO2 laser myringoplasty produces hearing improvement. The laser fiber allows for controlled delivery of energy to the TM with improved accuracy. Ears with effusions experience the greatest hearing improvement. Patients with membrane adherence not amenable to valsalva may be at risk for suboptimal hearing results. Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.

Duke Scholars

Author David Marcus Kaylie Otology, Neurotology & Skull Base Surgery

Author Debara Lyn Tucci Head and Neck Surgery & Communication Sciences