In order to determine if laser tympanostomy is a useful adjunct to middle ear endoscopy, a retrospective case review of 95 patients over 18 years of age and requiring middle ear endoscopy was conducted in a tertiary referral center. The review revealed that clear, rapid visualization of the middle ear structures was accomplished with minimal complications. The tympanic membrane usually healed after the procedure. We conclude that laser tympanostomy safely provides a middle ear opening which streamlines the procedure by providing a bloodless field, and by greatly reducing the need for frequent cleaning of the endoscopic lens.
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