{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T11:54:23Z","timestamp":1772452463613,"version":"3.50.1"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,2]]},"abstract":"Abstract<\/jats:title>\n \n Objectives<\/jats:title>\n The aim of this study was to compare KTP (potassium titanyl phosphate) laser therapy and dextracin ear drops for treatment of chronic myringitis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n A case series involving 31 patients (18 laser group; 13 dextracin group). Primary outcomes included otorrhoea resolution, improvement in Chronic Ear Survey scores and endoscopic resolution. Secondary outcomes included hearing outcome and complications. Statistical analyses were performed using Mann-Whitney\n U<\/jats:italic>\n , Wilcoxon signed-rank and Fisher\u2019s exact tests.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The laser group had a higher rate of otorrhoea resolution 66.67 per cent (\n n<\/jats:italic>\n = 12) vs 15.38 per cent (\n n<\/jats:italic>\n = 2) (\n p<\/jats:italic>\n = 0.006), showed significant improvement in symptom scores (median 31.43;\n p<\/jats:italic>\n = 0.005) and medical resource use (16.67;\n p<\/jats:italic>\n < 0.001) and had a significant myringitis area reduction of 31.84 per cent (\n p<\/jats:italic>\n < 0.001). No significant differences were observed in Chronic Ear Survey scores and area reduction in the dextracin group. One laser-group patient developed a permanent perforation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n KTP laser therapy is effective for refractory chronic myringitis, offering superior symptom relief and reduced healthcare utilisation compared to topical treatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215125103794","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T09:44:51Z","timestamp":1762335891000},"page":"196-202","source":"Crossref","is-referenced-by-count":0,"title":["KTP laser therapy for refractory chronic myringitis: a case series and comparative outcomes"],"prefix":"10.1017","volume":"140","author":[{"given":"Justin Tze Tao","family":"Wong","sequence":"first","affiliation":[{"name":"Head and Neck Surgery, Kowloon West Cluster"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4362-0800","authenticated-orcid":false,"given":"Sung Him Herbert","family":"Lee","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Kowloon West Cluster"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary Hil Ching","family":"Kwok","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Kowloon West Cluster"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia Ka Cheong","family":"Wai","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Kowloon West Cluster"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"S0022215125103794_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106000739"},{"key":"S0022215125103794_ref1","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2024.231292"},{"key":"S0022215125103794_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000235379.72278.ed"},{"key":"S0022215125103794_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1500-7"},{"key":"S0022215125103794_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27179"},{"key":"S0022215125103794_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121003121"},{"key":"S0022215125103794_ref8","first-page":"462","article-title":"Granular myringitis: is it a surgical problem?","volume":"21","author":"El-Seifi","year":"2000","journal-title":"Am J Otol"},{"key":"S0022215125103794_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2018.11.003"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215125103794","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T10:57:09Z","timestamp":1772449029000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215125103794\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,5]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S0022215125103794"],"URL":"https:\/\/doi.org\/10.1017\/s0022215125103794","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,5]]}}}