Otologic laser-assisted myringotomy (OtoLAM) is a relatively new procedure in which a laser is used to create a hole in the eardrum. Proponents say the chief advantages of this procedure are that it can be done in an office setting (as opposed to an operating room required by traditional myringotomy) without having to sedate the patient.

However, otologic laser-assisted myringotomy has one chief disadvantage – the hole created during the procedure closes in a short period of time, usually a couple of days. So, while it can be used to create a drainage hole to allow fluid to be suctioned from the middle ear, it cannot be used for tympanostomy tube insertion. For patients with recurrent fluid buildup and ear infections, the traditional myringotomy is likely to be a superior and more permanent form of treatment.