[The treatment of otosclerosis using laser assistedstapedotomy with mini incision in external auditory meatus].

[The treatment of otosclerosis using laser assistedstapedotomy with mini incision in external auditory meatus].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Mar;30(5):353-6

Authors: Hao X, Chen S, Yu Z, Liang F, Li Y

Abstract
OBJECTIVE: To investigate the feasibility of the treatment of otosclerosis using laser stapedotomywith mini incision in the external auditory meatus.
METHOD: Thirteen patients(15 ears) with otosclerosis evidence onclinic history. They were all operated using the laser assistedstapedotomy by mini incision in external auditory meatus because of the wide straight canal. Laser resection the tendo musculistapedius and anterior and postrior arch, breaking the articulatioincudostapedia, removing the stapes superstructure, making a hole of 6mm diameter in therear of stapes footplate by laser drilling, implanting the corresponding length Piston artificialossicle.
RESULT: All thesurgeries were successful and the operation time was about one hour. There was only one patient manifested vertigo and nausea after the operation. But the symptoms improved three days later after the expectant treatment. Allthe incisions were healed in the externals. There was significant difference between the preoperative and postoperative PTA. The air conduct improved in every frequent and the bone conduct improved in 1 kHz, 2 kHz and4 kHz.
CONCLUSION: Laser assisted stapedotomy by mini incision in the external auditory meatus in patients havingwide straight canal with otosclerosis can shorten the operation time, minimize the tissue damage, fasten the healing of the incision and reduce the complications postoperatively. In addition, the mini incision is beauty and easy to nurse.

PMID: 27382673 [PubMed - in process]

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