Use of the flexible fiber CO2 laser in pediatric transcanal endoscopic middle ear surgery

Lukas D Landegger; Michael S Cohen

doi:10.1016/j.ijporl.2016.03.039

Use of the flexible fiber CO2 laser in pediatric transcanal endoscopic middle ear surgery

Int J Pediatr Otorhinolaryngol. 2016 Jun:85:154-7. doi: 10.1016/j.ijporl.2016.03.039. Epub 2016 Apr 11.

Authors

Lukas D Landegger¹, Michael S Cohen²

Affiliations

¹ Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA; Department of Otology and Laryngology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: [email protected].
² Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, USA; Department of Otology and Laryngology, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: [email protected].

PMID: 27240515
DOI: 10.1016/j.ijporl.2016.03.039

Abstract

We describe 4 pediatric patients (age 6-11 years) who underwent transcanal endoscopic ear surgery (TEES) with the assistance of a flexible fiber CO2 laser over a period of 6 months. Three of these individuals suffered from densely adherent cholesteatoma, where the laser permitted one-handed dissection while preserving endoscopic visualization by limiting bleeding. In the fourth patient, TEES ossiculoplasty was performed for a congenital stapes bar, with subsequent hearing improvement. Advantages and disadvantages of the flexible fiber CO2 laser in the setting of TEES are discussed. Use of the flexible fiber CO2 laser was found to expand the TEES toolkit.

Keywords: Endoscopic ear surgery; Flexible fiber CO(2) laser; Otology; Pediatric; Transcanal.

MeSH terms

Child
Cholesteatoma, Middle Ear / surgery*
Ear, Middle / surgery*
Endoscopy
Female
Hearing Tests
Humans
Lasers, Gas / therapeutic use*
Male
Ossicular Prosthesis
Otologic Surgical Procedures / methods*
Pediatrics
Stapes / abnormalities
Stapes Surgery* / methods
Treatment Outcome
Tympanoplasty / methods