acute otitis media with effusion otitis media with effusion laser myringotomy OME resolution
Conditions
Interventions
Topical EMLA anesthetic cream is applied into the ear canal 45 minutes prior the procedure in both groups. Treatment group undergoes CO2 laser myringotomy under microscope in operating room with a po
single pulse duration 0.2 seconds and a scanned area of 1.9 millimeter in diameter. The middle ear fluid is removed as much as possible,intranasal corticosteroid 2 puff each nostril daily for 1 week.
CO2 Laser myringotomy,observation
Sponsors
Faculty of Medicine
Chualongkorn University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Patient aged 18-70 years with OME < 3 months from the date of onset
Exclusion criteria
Exclusion criteria: 1. Craniofacial anomalies 2. Nasopharyngeal mass such as adenoid hypertrophy, Nasopharyngeal carcinoma 3. Post-radiation of head and neck tumor 4. Pregnancy women 5. Rhinosinusitis (>3months) with or without nasal polyp 6. Previous history of ventilation tube insertion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| OME resolution time 12 weeks resolution time by normal physical examination, pneumatic otoscope and Tympanogram type A | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Cure rate of OME: treatment group and control group 12 weeks physical examination, audiometry, tympanometry,Time of symptoms resolution 12 weeks patient report ,complication of laser myringotomy 12 weeks physical examination,recurrence rate 12 weeks physical examination, audiometry, tympanometry | — |
Countries
Thailand
Contacts
Public ContactPaninee Charusripan
Chulalongkorn University
Outcome results
None listed