Thulium laser in stapedotomy surgery.
Publication/Presentation Date
1-1-2022
Abstract
BACKGROUND: Thulium laser use in stapedotomy surgery is usually associated with many doubts regarding the thermal effect on the vestibular area and the production of acoustic shock waves, which may result in permanent complications.
OBJECTIVES: We aimed to evaluate the efficacy and safety of the Thulium laser use in stapedotomy and its long-term effects on the clinical and audiological results.
MATERIAL AND METHODS: It was a retrospective randomized case-series study. We included 148 otosclerosis patients. They were divided randomly into two groups; group A (multiple shots) included 62 patients and group B (one shot with a manual perforator) included 86 patients.
RESULTS: There was a statistically significant improvement of the ABG in both groups. ABG closure (< 10 dB) occurred in 87.1% of patients in group A, and 89.5% of patients in group B. Intraoperative complications were more in group B (
CONCLUSIONS: According to our experience on a relatively large number of cases, the Thulium laser is a safe tool to be used in stapedotomy either in multiple shots or one shot with a manual perforator. It improved functional hearing efficiently without showing signs of inner ear impairment.
Volume
142
Issue
3-4
First Page
234
Last Page
240
ISSN
1651-2251
Published In/Presented At
Covelli, E., Elfarargy, H. H., Filippi, C., Margani, V., Volpini, L., & Barbara, M. (2022). Thulium laser in stapedotomy surgery. Acta oto-laryngologica, 142(3-4), 234–240. https://doi.org/10.1080/00016489.2022.2048071
Disciplines
Medicine and Health Sciences
PubMedID
35468299
Department(s)
Department of Surgery
Document Type
Article