Laser-Assisted Stapedotomy

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Flexible Fiber Optic Carbon-Dioxide Laser Assisted Stapedotomy in Otosclerosis

Objective. The aim of this study is to analyze the hearing and vestibular outcome of patients with otosclerosis who have been operated on by fiber optic flexible CO2 laser. Study Design. A preliminary and retrospective study was conducted in 30 patients with otosclerosis. Results. Comparative analysis of average air conduction thresholds (53.41 ± 11.81 dB versus 26.37 ± 11.04 dB) and air-bone g...

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Laser Versus Drill-Assisted Stapedotomy for the Treatment of Otosclerosis: A Randomized-Controlled Trial

laseror microdrill-assisted technique may enable better outcomes in terms of intraand post-operative complications as well as of hearing gain as compared with classical stapedotomy technique. Materials and Methods: Eighty-two subjects undergoing primary stapes surgery for otosclerosis were enrolled for this study as having a least pure tone average (PTA) air-bone gap (ABG) of 35 dB. Patients we...

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Robot-assisted stapedotomy: micropick fenestration of the stapes footplate.

OBJECTIVE Micropick fenestration of the stapes footplate, a difficult step in stapedotomy, was selected for trials evaluating the potential for robotic assistance (RA) to improve clinical measures of surgical performance. STUDY DESIGN In a surgical model of stapedotomy, we measured accuracy of fenestration to a desired point location and force applied to the stapes footplate. Performance vari...

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Hyaluronate gel stapedotomy.

OBJECTIVE To evaluate hearing results and postoperative dizziness after stapedotomy with application of sodium hyaluronate gel (HG) to the oval window niche during fenestration of the footplate. STUDY DESIGN Case-control study comparing 27 stapedotomies with HG and 32 stapedotomies without HG. OUTCOME MEASURE Preoperative and postoperative audiometric data, postoperative dizziness (vertigo ...

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Post-stapedotomy granulomatous reaction.

Since the advent of stapedotomy and its use in the treatment of otosclerosis, a few complications have been reported in the literature. Among them, the granulomatous reaction, described by Harris and Weiss in 1962, is rare. It is an excessive inflammation that forms granulation tissue around the prosthesis and the oval windows. Although the etiology is uncertain, several authors believe that th...

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ژورنال

عنوان ژورنال: Otolaryngology–Head and Neck Surgery

سال: 2011

ISSN: 0194-5998,1097-6817

DOI: 10.1177/0194599811415823a274