Radiofrequency myringotomy with the topical use of mitomycin C: an experimental study.

نویسندگان

  • Vassilios A Lachanas
  • Emmanuel P Prokopakis
  • Stylianos G Malandrakis
  • John K Hajiioannou
  • Panayotis N Christodoulou
  • George A Velegrakis
چکیده

OBJECTIVE To assess the use of radiofrequency myringotomy in combination with mitomycin C as an alternative myringotomy technique on rabbits. STUDY DESIGN Experimental animal research protocol. SETTING University of Crete, School of Medicine, Medical Experimental Education and Research Center. METHODS Radiofrequency myringotomies were performed under general anesthesia on both ears of 20 rabbits. Mitomycin C (0.3 mg/ml) pledgets were applied in the right ears (study group) and saline pledgets in the left ears (control group). Animals were monitored using otomicroscopy weekly until myringotomy closure. Kaplan-Meier survival techniques were used to compare myringotomy patency time between the two sides. INTERVENTION Radiofrequency myringotomy under general anesthesia on both ears of 20 rabbits. MAIN OUTCOME MEASURE Myringotomy patency time. RESULTS The mean patency time of the study group was 5.45 weeks (95% confidence interval, 5.185-5.715 weeks). The mean patency rate for the control side was 1.60 weeks (95% confidence interval, 1.38-1.82 weeks). The Breslow (generalized Wilcoxon) test showed the study group to have significantly longer patency of radiofrequency myringotomy than the control group (p<0.0001). CONCLUSION The patency period of radiofrequency myringotomy was not long enough to be proposed as an alternative to the insertion of ventilation tubes, although mitomycin C had a significant adjunct effect in prolonging the patency rate of radiofrequency myringotomy on rabbits.

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عنوان ژورنال:
  • Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

دوره 27 1  شماره 

صفحات  -

تاریخ انتشار 2006