Laser myringotomy for otitis media with effusion in nasopharyngeal carcinoma patients

Chung Feng Hwang; Chih Yen Chien; Hsin Ching Lin; Jyh Ping Peng; Hsueh Wen Chang; Chih Ying Su

doi:10.1016/j.otohns.2005.01.042

Laser myringotomy for otitis media with effusion in nasopharyngeal carcinoma patients

Chung Feng Hwang, Chih Yen Chien, Hsin Ching Lin, Jyh Ping Peng, Hsueh Wen Chang, Chih Ying Su^*

^*Corresponding author for this work

Research output: Contribution to journal › Journal Article › peer-review

5 Scopus citations

Abstract

OBJECTIVE: 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 CO₂ 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.

Original language	English
Pages (from-to)	924-927
Number of pages	4
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	132
Issue number	6
DOIs	https://doi.org/10.1016/j.otohns.2005.01.042
State	Published - 06 2005

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@article{93105ce69060490d8b07c89568d9d1e9,

title = "Laser myringotomy for otitis media with effusion in nasopharyngeal carcinoma patients",

abstract = "OBJECTIVE: 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 CO2 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.",

author = "Hwang, {Chung Feng} and Chien, {Chih Yen} and Lin, {Hsin Ching} and Peng, {Jyh Ping} and Chang, {Hsueh Wen} and Su, {Chih Ying}",

year = "2005",

month = jun,

doi = "10.1016/j.otohns.2005.01.042",

language = "英语",

volume = "132",

pages = "924--927",

journal = "Otolaryngology - Head and Neck Surgery (United States)",

issn = "0194-5998",

publisher = "John Wiley and Sons Inc",

number = "6",

}

TY - JOUR

T1 - Laser myringotomy for otitis media with effusion in nasopharyngeal carcinoma patients

AU - Hwang, Chung Feng

AU - Chien, Chih Yen

AU - Lin, Hsin Ching

AU - Peng, Jyh Ping

AU - Chang, Hsueh Wen

AU - Su, Chih Ying

PY - 2005/6

Y1 - 2005/6

N2 - OBJECTIVE: 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 CO2 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.

AB - OBJECTIVE: 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 CO2 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.

UR - http://www.scopus.com/inward/record.url?scp=20444428666&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2005.01.042

DO - 10.1016/j.otohns.2005.01.042

M3 - 文章

C2 - 15944565

AN - SCOPUS:20444428666

SN - 0194-5998

VL - 132

SP - 924

EP - 927

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

IS - 6

ER -

Laser myringotomy for otitis media with effusion in nasopharyngeal carcinoma patients

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