{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:05:06Z","timestamp":1788239106629,"version":"build-2803163510"},"reference-count":20,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["IMAS"],"published-print":{"date-parts":[[2013,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:sec>\n          <jats:title>Background<\/jats:title>\n          <jats:p>Otitis media with effusion is the most common cause of conductive hearing loss in the pediatric population. Insertion of ventilation tubes with or without adenoidectomy is the accepted and standard surgical procedure. CO<jats:sub>2<\/jats:sub> laser myringotomy without tube placement has been advocated as an alternative treatment.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Aim<\/jats:title>\n          <jats:p>To compare long-term follow-up results of laser versus classical myringotomy with ventilation tube insertion over five years.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Materials and Methods<\/jats:title>\n          <jats:p>86 patients with bilateral otitis media with effusion were divided into two groups: laser myringotomy group and myringotomy with ventilation tube insertion group, with follow-up in hearing results and recurrence rates over five years.<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Results<\/jats:title>\n          <jats:p>The mean patency time of myringotomy in laser group was 23 days, while the mean patency time of the ventilation tubes ears was 4.0 months in myringotomy group. Twelve patients in laser group (13.9%) showed a recurrent otitis media with effusion compared to 9 patients in myringotomy group (10.4%).<\/jats:p>\n        <\/jats:sec>\n        <jats:sec>\n          <jats:title>Conclusion<\/jats:title>\n          <jats:p>Laser fenestration is a less effective alternative to myringotomy and tube placement. The recurrence rates after both procedures did not show statistical significance over long follow-up. It might be considered as an effective alternative to classical surgery and ideal for short-term ventilation.<\/jats:p>\n        <\/jats:sec>","DOI":"10.1556\/imas.5.2013.1.3","type":"journal-article","created":{"date-parts":[[2013,3,20]],"date-time":"2013-03-20T01:23:41Z","timestamp":1363742621000},"page":"16-20","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":4,"title":["Laser-assisted myringotomy versus conventional myringotomy with ventilation tube insertion in treatment of otitis media with effusion: Long-term follow-up"],"prefix":"10.1556","volume":"5","author":[{"given":"Tarek Fouad","family":"Youssef","sequence":"first","affiliation":[{"name":"1 Department of Otolaryngology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Rifaat","family":"Ahmed","sequence":"additional","affiliation":[{"name":"1 Department of Otolaryngology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1542\/peds.113.5.1412","article-title":"Otitis media with effusion","volume":"113","year":"2004","journal-title":"Pediatrics"},{"key":"2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/00005537-200003000-00002","article-title":"Adenoidectomy with laser or incisional myringotomy for otitis media with effusion","volume":"110","author":"Szeremeta W.","year":"2000","journal-title":"Laryngoscope"},{"key":"3","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1007\/s00405-003-0685-9","article-title":"Laser myringotomy in otitis media with effusion: Long-term follow-up","volume":"261","author":"Hassmann E.","year":"2001","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"4","first-page":"CD001801","article-title":"Grommets (ventilation tubes) for hearing loss associated with otitis media with effusion in children","volume":"10","author":"Browning G.G.","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"5","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.ijporl.2011.04.013","article-title":"Microscopic comparison of topical use of Mitomycin C and Fluorouracil on cold knife myringotomy","volume":"76","author":"Naderpour M.","year":"2002","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"6","doi-asserted-by":"crossref","first-page":"844","DOI":"10.1097\/00005537-200405000-00010","article-title":"Laser myringotomy versus ventilation tubes in children with otitis media with effusion: a randomized trial","volume":"114","author":"Koopman J.P.","year":"2004","journal-title":"Laryngoscope"},{"key":"7","first-page":"447","article-title":"Duration of middle ear ventilation after laser myringotomy with the CO2 laser otoscope Otoscan","volume":"49","author":"Sedlmaier B.","year":"2001","journal-title":"HNO"},{"key":"8","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1001\/archotol.127.3.260","article-title":"Laser myringotomy in different age groups","volume":"127","author":"Cohen D.","year":"2001","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"9","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1002\/lsm.1900150303","article-title":"Experimental study of CO2 laser myringotomy with a hand-held otoscope and fiberoptic delivery system","volume":"15","author":"DeRowe A.","year":"1994","journal-title":"Lasers Surg Med"},{"key":"10","doi-asserted-by":"crossref","first-page":"794","DOI":"10.1016\/S1808-8694(15)31046-6","article-title":"Tympanic membrane healing in myringotomies performed with argon laser or microknife: an experimental study in rats","volume":"72","author":"Castagno L.A.","year":"2006","journal-title":"Braz J Otorhinolaryngol"},{"key":"11","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1097\/00005537-200403000-00018","article-title":"Effectiveness of laser-assisted myringotomy for otitis media in children","volume":"114","author":"Cotter C.S.","year":"2004","journal-title":"Laryngoscope"},{"key":"12","first-page":"1866","article-title":"Outcome of myringotomy with ventilation tube for otitis media with effusion in Thai children: Ramathibodi experiences","volume":"90","author":"Tanpowpong K.","year":"2007","journal-title":"J Med Assoc Thai"},{"key":"13","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1186\/cc1521","article-title":"Statistics review 4: sample size calculations","volume":"6","author":"Whitley E.","year":"2002","journal-title":"Crit Care"},{"key":"14","unstructured":"Saber A (2008): Effect of Intergel versus Honey in Intraperitoneal Adhesion Prevention and Colonic Anastomotic Healing: A Comparative Study in Rats. 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