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Potassium titanyl phosphate laser surface tympanoplasty as a novel treatment for chronic granular myringitis in a series of 14 patients

Published online by Cambridge University Press:  22 October 2021

R Ghedia Open the ORCID record for R Ghedia [Opens in a new window] ,
L Sutton ,
C Hogan ,
K Seymour  and
M Wareing
R Ghedia*
Affiliation:
Department of ENT, Royal London Hospital, Barts Health NHS Trust, London, UK
L Sutton
Affiliation:
Department of ENT, Royal London Hospital, Barts Health NHS Trust, London, UK
C Hogan
Affiliation:
Department of ENT, Royal London Hospital, Barts Health NHS Trust, London, UK
K Seymour
Affiliation:
Department of ENT, Royal London Hospital, Barts Health NHS Trust, London, UK
M Wareing
Affiliation:
Department of ENT, Royal London Hospital, Barts Health NHS Trust, London, UK
*
Author for correspondence: Ms Reshma Ghedia, Department of ENT, Royal London Hospital, Barts Health NHS Trust, LondonE1 1FR, UK E-mail: rghedia@nhs.net
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Abstract

Objective

Granular myringitis is a chronic and difficult-to-treat condition of the tympanic membrane. This paper presents a minimally invasive treatment technique using the potassium titanyl phosphate laser.

Design

A retrospective case review of patients who underwent potassium titanyl phosphate laser treatment between 2015 and 2020 was performed. All patients underwent final telephone follow up in 2020 to ascertain whether they had any ongoing myringitis symptoms, and all were offered further face-to-face follow up.

Results

Fourteen patients with myringitis were identified, with one patient having both ears affected. Of the 15 affected ears, 2 required a second treatment, resulting in a total of 17 laser treatment cases. At the first post-operative review, the appearance of the drum had improved in 10 out of 17 treatments (59 per cent).

Conclusion

Potassium titanyl phosphate laser surface tympanoplasty may provide safe, quick and effective resolution of myringitis.

Keywords

KTP LaserOtitis ExternaTympanoplasty
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1044 - 1050
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Ms R Ghedia takes responsibility for the integrity of the content of the paper

References

Chung, J, Lee, DY, Kim, YH. Management of myringitis: current concepts and review. Laryngoscope 2018;128:2157–62CrossRefGoogle ScholarPubMed
Devaraja, K. Myringitis: an update. J Otol 2019;14:26–9CrossRefGoogle ScholarPubMed
Levi, JR, Ames, JA, Gitman, L, Morlet, T, O'Reilly, RC. Clinical characteristics of pediatric granular myringitis. Otolaryngol Head Neck Surg 2013;148:291–6CrossRefGoogle ScholarPubMed
El-Seifi, A, Fouad, B. Granular myringitis: is it a surgical problem? Am J Otol 2000;21:462–7Google ScholarPubMed
Wolf, M, Primov-Fever, A, Barshack, I, Polack-Charcon, S, Kronenberg, J. Granular myringitis: incidence and clinical characteristics. Otol Neurotol 2006;27:1094–7CrossRefGoogle ScholarPubMed
Kim, YH. Clinical characteristics of granular myringitis treated with castellani solution. Eur Arch Otorhinolaryngol 2011;268:1139–46CrossRefGoogle ScholarPubMed
Bansal, M. Why cannot we have an etiological classification for the patients with granular myringitis? Indian J Otolaryngol Head Neck Surg 2017;69:397–400CrossRefGoogle Scholar
Blevins, NH, Karmody, CS. Chronic myringitis: prevalence, presentation, and natural history. Otol Neurotol 2001;22:3–10CrossRefGoogle ScholarPubMed
Jung, HH, Cho, SD, Yoo, CK, Lim, HH, Chae, SW. Vinegar treatment in the management of granular myringitis. J Laryngol Otol 2002;116:176–80CrossRefGoogle ScholarPubMed
Atef, AM, Hamouda, MM, Mohamed, AHA, Fattah, AFA. Topical 5-fluorouracil for granular myringitis: a double-blinded study. J Laryngol Otol 2010;124:279–84CrossRefGoogle ScholarPubMed
Health Research Authority. Is my study research. In: http://www.hra-decisiontools.org.uk/research/ [16 May 2022]Google Scholar
Cheng, YF, Shiao, AS. Intractable chronic myringitis treated with carbon dioxide laser microsurgery. Arch Otolaryngol Head Neck Surg 2008;134:152–6CrossRefGoogle ScholarPubMed
Fechner, FP, Cunningham, MJ, Eavey, RD. Laser therapy for refractory myringitis in children. Otolaryngol Head Neck Surg 2002;127:163–8CrossRefGoogle ScholarPubMed
Zhang, Z, Liu, X, Chen, S, Zheng, Y. Combined tympanic epithelial layer avulsion and overlay myringoplasty for diffuse granular myringitis. J Laryngol Otol 2010;124:842–5CrossRefGoogle ScholarPubMed
van der Meer, G. Granular myringitis: report of three prospective studies evaluating treatment options. Clin Otolaryngol 2010;3:242–3CrossRefGoogle Scholar