In:
Otolaryngology–Head and Neck Surgery, Wiley, Vol. 132, No. 6 ( 2005-06), p. 924-927
Abstract:
To evaluate the effectiveness of laser myringotomy in otitis media with effusion (OME) in patients with nasopharyngeal carcinoma (NPC). STUDY DESIGN AND SETTING Laser myringotomy was performed with a CO 2 laser otoscope in 53 NPC patients (68 ears) and 32 non‐NPC patients (37 ears). All patients had a history of OME. RESULTS In the NPC group, 40% of ears developed persistent perforation, 37% had recurrent OME, and 23% were free of disease. In the non‐NPC group, only 3% of ears developed persistent perforation, and 43% were free of disease. Significant differences in perforation and disease‐free state were evident between the 2 groups. Tumor stage was found to be a significant determining factor for clinical outcome in NPC group. CONCLUSION Laser myringotomy for NPC group carries a significantly higher risk of persistent perforation and lower rate of cure. This procedure may be considered for early staging NPC patients with serious OME symptoms.
Type of Medium:
Online Resource
ISSN:
0194-5998
,
1097-6817
DOI:
10.1016/j.otohns.2005.01.042
Language:
English
Publisher:
Wiley
Publication Date:
2005
detail.hit.zdb_id:
2008453-5
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