title: [The CO2 laser otoscope. A new application device for paracentesis].
abstract: The CO2 laser myringotomy is a current low-pain procedure for middle-ear ventilation for secretory otitis media (SOM) that can be performed under topical anesthesia, even in children. The duration of middle-ear ventilation is essentially determined by the size of the perforation created. Perforations with a diameter greater than 2 mm ventilate the tympanic cavity for approximately 3 weeks, thus avoiding tympanic ventilation tubes. To date, the CO2 laser beam can only be reliably applied to the tymapanic membrane via a micromanipulator system coupled to an ear microscope. The CO2 laser otoscope is a new application system that markedly reduces the technical complexity of surgery and improves the mobility and availability of the system. The incorporation of a small inexpensive CO2 laser in the otoscope represents a significant development in SOM therapy.
authors.affiliation: HNO-Klinik mit Polikliniken, Klinikum Benjamin Franklin, Freie Universität Berlin.
authors.forename: B
authors.initials: B
authors.lastname: Sedlmaier
authors.forename: A
authors.initials: A
authors.lastname: Blödow
authors.forename: U
authors.initials: U
authors.lastname: Schönfeld
authors.forename: S
authors.initials: S
authors.lastname: Jovanovic
mesh_terms: D000818:Animals; D002648:Child; D019723:Endoscopes; D004867:Equipment Design; D004869:Equipment Safety; D006736:Horses; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D008855:Microscopy, Electron, Scanning; D008876:Middle Ear Ventilation / Q000295:instrumentation*; D010034:Otitis Media with Effusion / Q000601:surgery*; D014432:Tympanic Membrane / Q000473:pathology / Q000601:surgery
vernacular_title: Das CO2-Laserotoskop. Ein neues Applikationssystem für die Parazentese.