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Treatment of chronic otitis externa by KTP/532 laser

Published online by Cambridge University Press:  29 June 2007

B. N. Kumar ,
R. M. Walsh ,
R. G. Courteney-Harris  and
P. S. Wilson
B. N. Kumar*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent Department of Communication and Neuroscience, University of Keele, Keele, UK.
R. M. Walsh
Affiliation:
Department of Communication and Neuroscience, University of Keele, Keele, UK.
R. G. Courteney-Harris
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent
P. S. Wilson
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, North Staffordshire Hospital NHS Trust, Stoke-on-Trent
*
Address for correspondence: B. N. Kumar, D.L.O., F.R.C.S., Specialist Registrar in ENT, North Staffordshire Royal Infirmary, Stoke-on-Trent, ST4 7LN. Fax: 01782-554470
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Abstract

The traditional meatoplasty operations performed for chronic otitis externa, which has entered the ‘fibrotic’ phase, are often unsatisfactory because the results in terms of canal patency, hearing gain and patient satisfaction are variable. Although the use of laser in chronic ear surgery is well recognized, it has not been previously reported as a meatoplasty technique. Ten KTP laser meatoplasty operations were performed on eight patients with chronic otitis externa. This pilot study shows the technique to be effective, fast and with a high patient satisfaction rate in the short-term (mean follow-up period 9.3 months). The average increase in hearing thresholds was 24 dB HL. Significant patient benefit was obtained in at least six out of eight patients using the Belfast rule of thumb. The technique has many advantages over the traditional meatoplasty operations but the long-term results require evaluation.

Keywords

Otitis externaLaser surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 12 , December 1997 , pp. 1126 - 1129
Copyright
Copyright © JLO (1984) Limited 1997

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Footnotes

Presented at the Section of Otology meeting of the Royal Society of Medicine, London, March 1997, and at the Annual Meeting of the British Medical Laser Association, Jersey, June 1997.

References

Adkins, W. Y., Osguthorpe, J. D. (1981) Management of canal stenosis with a transposition flap. Laryngoscope 91 (8): 1267–1269.CrossRefGoogle ScholarPubMed
Beales, P. H., Crawford, B. S. (1966) The treatment of postinflammatory atresia of the external auditory meatus. Journal of Laryngology and Otology 80(1): 86–89.CrossRefGoogle ScholarPubMed
Bell, D. R. (1988) External auditory canal stenosis and atresia: dual flap surgery. Journal of Otolaryngology 17(1): 19–21.Google ScholarPubMed
Goodman, W. S., Middleton, W. C. (1984) The management of chronic external otitis. Journal of Otolaryngology 13(3): 183–186.Google ScholarPubMed
Hunsaker, D. H. (1988) Conchomeatoplasty for chronic otitis externa. Archives of Otolaryngology-Head and Neck Surgery 114(4): 395–398.CrossRefGoogle ScholarPubMed
Martin-Hirsch, D. P., Smelt, G. J. C. (1993) Conchal flap meatoplasty. Journal of Laryngology and Otology 107: 1029–1031.CrossRefGoogle ScholarPubMed
McCary, W. S., Kryzer, T. C., Lambert, P. R. (1995) Application of split-thickness skin grafts for acquired diseases of the external auditory canal. American Journal of Otology 16(6): 801–805.Google ScholarPubMed
McDonald, T. J., Facer, G. W., Clark, J. L. (1986) Surgical treatment of stenosis of the external auditory canal. Laryngoscope 96(8): 830–833.CrossRefGoogle ScholarPubMed
Paparella, M. M., Goycoolea, M. V. (1981) Canalplasty for chronic intractable external otitis and keratosisobturans. Otolaryngology-Head and Neck Surgery 89: 440–443.CrossRefGoogle Scholar
Parkin, J. L. (1990) Lasers in tympanomastoid surgery. Otolaryngologic Clinics of North America 23(1): 1–5.CrossRefGoogle ScholarPubMed
Smyth, G. D. L., Patterson, C. C. (1985) Results of middle ear reconstruction: Do patients and surgeons agree? American Journal of Otology 6: 276–279.Google ScholarPubMed
Soliman, T., Fatt-Hi, A., Kadir, M. A. (1980) A simplified technique for the management of acquiredstenosis of the external auditory canal. Journal of Laryngology and Otology 94: 549–552.CrossRefGoogle ScholarPubMed
Thedinger, B. S. (1990) Applications of the KTP laser in chronic ear surgery. American Journal of Otology 11(2): 79–84.Google ScholarPubMed
Tos, M., Balle, V. (1986) Post-inflammatory acquired atresia of the external auditory canal: late results of surgery. American Journal of Otology 7(5): 365–370.Google Scholar
Tos, M., Bonding, P. (1979) Treatment of post-inflammatory acquired atresia of the external auditory canal. ORL 41(2): 85–90.CrossRefGoogle Scholar