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The effects of radiofrequency and incisional myringotomy on the duration of patency

Year 2007, Volume: 17 Issue: 4, 224 - 227, 01.07.2007

Mehmet Eken Cenk Evren Arif Şanlı Sedat Aydın H. Mustafa Paksoy

Abstract

Objectives: We investigated whether radiofrequen- cy could prolong the patency of myringotomy.Materials and Methods: Eighteen guinea pigs were enrolled in this study. Myringotomies were created by radiofrequency in the right ears in the study group using the ENTec coblator plasma surgery system, while the left ears had incisional myringotomies as the control group. After the myringotomies, the tympanic membranes were examined with otomicroscopy on the 5th, 7th, 10th, and 14th days. Closure times of the two groups were compared by the Mann-Whitney U-test.Results: Ali the myringotomies were closed up to the tenth postoperative day. There was no significant difference between the two groups with respect to closure times.Conclusion: Radiofrequency is a safe and minimal- ly destructive method to perform a myringotomy, but it does not provide long-time patency.

Keywords

Middle ear ventilation otitis media

References

  • Facione N. Quality of life issues in chronic otitis media with effusion: parameters for future study. Int J Pediatr Otorhinolaryngol 1991;22:167-79.
  • Mandel EM, Rockette HE, Bluestone CD, Paradise JL, Nozza RJ. Myringotomy with and without tym- panostomy tubes for chronic otitis media with effu- sion. Arch Otolaryngol Head Neck Surg 1989; 115:1217-24.
  • Buckingham RA. Cholesteatoma and chronic otitis media following middle ear intubation. Laryngoscope 1981;91(9 Pt 1):1450-6.
  • Lildholdt T. Ventilation tubes in secretory otitis media. A randomized, controlled study of the course, the complications, and the sequelae of ventilation tubes. Acta Otolaryngol Suppl 1983;398:1-28.
  • Gibb AG. Non-suppurative otitis media. In: Ballantyne. J, Groves J, editors. Scott Brown’s Diseases of the ear, nose and throat. London: Butterworth Medical Publishing; 1979. p. 193-235.
  • Estrem SA, Batra PS. Preventing myringotomy closure with topical mitomycin C in rats. Otolaryngol Head Neck Surg 1999;120:794-8.
  • Soderberg O, Hellstrom S, Stenfors LE. Myringotomy made by CO2 laser-an alternative to the ventilation tube? An experimental study. Acta Otolaryngol 1984; 97:335-41.
  • Silverstein H, Kuhn J, Choo D, Krespi YP, Rosenberg SI, Rowan PT. Laser-assisted tympanostomy. Laryngoscope 1996;106(9 Pt 1):1067-74.
  • Lau P, Shelton C, Goode RL. Heat myringotomy. Laryngoscope 1985;95:38-42.
  • Lyons GD Jr, Webster DB, Mouney DF, Lousteau RJ. Anatomical consequences of CO2 laser surgery of the guinea pig ear. Laryngoscope 1978;88:1749-54.
  • Wilpizeski C, Maioriello RP, Reddy JB, Kadri Z, Trocki I. Otological applications of lasers: basic back- ground. Trans Pa Acad Ophthalmol Otolaryngol 1977;30:185-92.
  • DeRowe A, Ophir D, Katzir A. Experimental study of CO2 laser myringotomy with a hand-held otoscope and fiberoptic delivery system. Lasers Surg Med 1994; 15:249-53.
  • Goode RL. CO2 laser myringotomy. Laryngoscope 1982;92:420-3.
  • Kent SE, Rhys-Evans PH. Thermal myringotomy in guinea pigs. J Laryngol Otol 1987;101:103-15.
  • Armstrong BW. A new treatment for chronic secretory otitis media. AMA Arch Otolaryngol 1954;59:653-4.
  • Back LJ, Hytonen ML, Malmberg HO, Ylikoski JS. Submucosal bipolar radiofrequency thermal ablation of inferior turbinates: a long-term follow-up with sub- jective and objective assessment. Laryngoscope 2002; 112:1806-12.
  • Cakir BO, Dadas B, Basak T, Cinar U, Ozdogan HC, Uslu B, et al. Effect of topical 5-fluorouracil on closure time of myringotomies created by a radiofrequency surgical unit in guinea pigs. Otol Neurotol 2002; 23:146-51.
  • Clawson JP, Litton WB. The healing process of tym- panic membrane perforations. Trans Am Acad Ophthalmol Otolaryngol 1971;75:1302-12.

Radyofrekans ve insizyonel miringotominin miringotomi açıklık sürelerine etkileri

Year 2007, Volume: 17 Issue: 4, 224 - 227, 01.07.2007

Mehmet Eken Cenk Evren Arif Şanlı Sedat Aydın H. Mustafa Paksoy

Abstract

Amaç: Radyofrekansın, miringotomi açıklığını uzatabilme amaçlı kullanılabilirliği araştırıldı.Gereç ve Yöntem: Bu çalışmada 18 guinea pig kullanıldı. Çalışma grubundaki miringotomiler sağ kulaklara radyofrekans ile yapıldı. Kontrol grubu olaraksol kulaklara insizyonel miringotomi yapıldı. Radyofrekans ile yapılan miringotomilerde ENTec koblatörplazma cerrahi sistem cihazı kullanıldı. Timpanikmembranlar işlem sonrası 5, 7, 10 ve 14. günlerdeotomikroskop ile incelendi. İki gruptaki kapanma süreleri Mann-Whitney U-testi ile karşılaştırıldı.Bulgular: Bütün miringotomiler ameliyat sonrasıonuncu güne kadar kapandı. İstatistiksel olarak ikigrup arasında kapanma süreleri açısından anlamlıfarklılık izlenmedi.Sonuç: Radyofrekans, miringotomi için güvenilir veminimal destrüktif bir yöntemdir, fakat uzun bir miringotomi açıklığı sağlayamamaktadır

Keywords

Orta kulak ventilasyonu otitis media

References

  • Facione N. Quality of life issues in chronic otitis media with effusion: parameters for future study. Int J Pediatr Otorhinolaryngol 1991;22:167-79.
  • Mandel EM, Rockette HE, Bluestone CD, Paradise JL, Nozza RJ. Myringotomy with and without tym- panostomy tubes for chronic otitis media with effu- sion. Arch Otolaryngol Head Neck Surg 1989; 115:1217-24.
  • Buckingham RA. Cholesteatoma and chronic otitis media following middle ear intubation. Laryngoscope 1981;91(9 Pt 1):1450-6.
  • Lildholdt T. Ventilation tubes in secretory otitis media. A randomized, controlled study of the course, the complications, and the sequelae of ventilation tubes. Acta Otolaryngol Suppl 1983;398:1-28.
  • Gibb AG. Non-suppurative otitis media. In: Ballantyne. J, Groves J, editors. Scott Brown’s Diseases of the ear, nose and throat. London: Butterworth Medical Publishing; 1979. p. 193-235.
  • Estrem SA, Batra PS. Preventing myringotomy closure with topical mitomycin C in rats. Otolaryngol Head Neck Surg 1999;120:794-8.
  • Soderberg O, Hellstrom S, Stenfors LE. Myringotomy made by CO2 laser-an alternative to the ventilation tube? An experimental study. Acta Otolaryngol 1984; 97:335-41.
  • Silverstein H, Kuhn J, Choo D, Krespi YP, Rosenberg SI, Rowan PT. Laser-assisted tympanostomy. Laryngoscope 1996;106(9 Pt 1):1067-74.
  • Lau P, Shelton C, Goode RL. Heat myringotomy. Laryngoscope 1985;95:38-42.
  • Lyons GD Jr, Webster DB, Mouney DF, Lousteau RJ. Anatomical consequences of CO2 laser surgery of the guinea pig ear. Laryngoscope 1978;88:1749-54.
  • Wilpizeski C, Maioriello RP, Reddy JB, Kadri Z, Trocki I. Otological applications of lasers: basic back- ground. Trans Pa Acad Ophthalmol Otolaryngol 1977;30:185-92.
  • DeRowe A, Ophir D, Katzir A. Experimental study of CO2 laser myringotomy with a hand-held otoscope and fiberoptic delivery system. Lasers Surg Med 1994; 15:249-53.
  • Goode RL. CO2 laser myringotomy. Laryngoscope 1982;92:420-3.
  • Kent SE, Rhys-Evans PH. Thermal myringotomy in guinea pigs. J Laryngol Otol 1987;101:103-15.
  • Armstrong BW. A new treatment for chronic secretory otitis media. AMA Arch Otolaryngol 1954;59:653-4.
  • Back LJ, Hytonen ML, Malmberg HO, Ylikoski JS. Submucosal bipolar radiofrequency thermal ablation of inferior turbinates: a long-term follow-up with sub- jective and objective assessment. Laryngoscope 2002; 112:1806-12.
  • Cakir BO, Dadas B, Basak T, Cinar U, Ozdogan HC, Uslu B, et al. Effect of topical 5-fluorouracil on closure time of myringotomies created by a radiofrequency surgical unit in guinea pigs. Otol Neurotol 2002; 23:146-51.
  • Clawson JP, Litton WB. The healing process of tym- panic membrane perforations. Trans Am Acad Ophthalmol Otolaryngol 1971;75:1302-12.
There are 18 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Mehmet Eken This is me

Cenk Evren This is me

Arif Şanlı This is me

Sedat Aydın This is me

H. Mustafa Paksoy This is me

Publication Date July 1, 2007
Published in Issue Year 2007 Volume: 17 Issue: 4

Cite

APA Eken, M., Evren, C., Şanlı, A., Aydın, S., et al. (2007). The effects of radiofrequency and incisional myringotomy on the duration of patency. The Turkish Journal of Ear Nose and Throat, 17(4), 224-227.
AMA Eken M, Evren C, Şanlı A, Aydın S, Paksoy HM. The effects of radiofrequency and incisional myringotomy on the duration of patency. Tr-ENT. July 2007;17(4):224-227.
Chicago Eken, Mehmet, Cenk Evren, Arif Şanlı, Sedat Aydın, and H. Mustafa Paksoy. “The Effects of Radiofrequency and Incisional Myringotomy on the Duration of Patency”. The Turkish Journal of Ear Nose and Throat 17, no. 4 (July 2007): 224-27.
EndNote Eken M, Evren C, Şanlı A, Aydın S, Paksoy HM (July 1, 2007) The effects of radiofrequency and incisional myringotomy on the duration of patency. The Turkish Journal of Ear Nose and Throat 17 4 224–227.
IEEE M. Eken, C. Evren, A. Şanlı, S. Aydın, and H. M. Paksoy, “The effects of radiofrequency and incisional myringotomy on the duration of patency”, Tr-ENT, vol. 17, no. 4, pp. 224–227, 2007.
ISNAD Eken, Mehmet et al. “The Effects of Radiofrequency and Incisional Myringotomy on the Duration of Patency”. The Turkish Journal of Ear Nose and Throat 17/4 (July 2007), 224-227.
JAMA Eken M, Evren C, Şanlı A, Aydın S, Paksoy HM. The effects of radiofrequency and incisional myringotomy on the duration of patency. Tr-ENT. 2007;17:224–227.
MLA Eken, Mehmet et al. “The Effects of Radiofrequency and Incisional Myringotomy on the Duration of Patency”. The Turkish Journal of Ear Nose and Throat, vol. 17, no. 4, 2007, pp. 224-7.
Vancouver Eken M, Evren C, Şanlı A, Aydın S, Paksoy HM. The effects of radiofrequency and incisional myringotomy on the duration of patency. Tr-ENT. 2007;17(4):224-7.