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Proceedings Paper

CO2 laser in revision stapes surgery
Author(s): Sergije Jovanovic; Uwe Schoenfeld; Hans H. Scherer M.D.
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Paper Abstract

Successful restoration of audition in revision stapedotomies involves precise identification and correction of the pathological condition without traumatizing the inner ear. Conventional surgical procedures often lead to unsatisfactory audition results and inner ear damages. In revision stapedotomy, the carbon-dioxide laser provides the ear surgeon with three important advantages over the conventional technique: (1) improved diagnostic and therapeutic precision, (2) better stabilization of the new prosthesis in the oval niche, and (3) reduction of inner ear trauma through non- contact atraumatic management. The surgical procedure of revision stapedotomies with the carbon dioxide laser is discussed, and case examples are used to illustrate the diversity of pathological conditions that can be treated by carbon-dioxide laser surgery. Our experience with revision carbon-dioxide laser stapedotomy suggests an improvement of postoperative audition compared to the conventional technique and demonstrates a significant elimination of sensorineural deafness. The carbon-dioxide laser enables the ear surgeon to precisely and reliably correct conduction deafness recurring after stapedotomy.

Paper Details

Date Published: 22 May 1997
PDF: 7 pages
Proc. SPIE 2970, Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII, (22 May 1997); doi: 10.1117/12.275031
Show Author Affiliations
Sergije Jovanovic, Benjamin Franklin Medical Ctr./Freie Univ. Berlin (Germany)
Uwe Schoenfeld, Benjamin Franklin Medical Ctr./Freie Univ. Berlin (Germany)
Hans H. Scherer M.D., Benjamin Franklin Medical Ctr./Freie Univ. Berlin (Germany)

Published in SPIE Proceedings Vol. 2970:
Lasers in Surgery: Advanced Characterization, Therapeutics, and Systems VII
R. Rox Anderson M.D.; Harvey Lui M.D.; Michail M. Pankratov; Kenneth Eugene Bartels D.V.M.; Gerhard J. Mueller; Graham M. Watson M.D.; Reza S. Malek M.D.; Lawrence S. Bass M.D.; Lloyd P. Tate V.D.M.; Hans-Dieter Reidenbach; Kenneth Eugene Bartels D.V.M.; R. Rox Anderson M.D.; Lawrence S. Bass M.D.; Aaron P. Perlmutter M.D.; Kenton W. Gregory M.D.; David M. Harris; David M. Harris; Harvey Lui M.D.; Reza S. Malek M.D.; Gerhard J. Mueller; Michail M. Pankratov; Aaron P. Perlmutter M.D.; Hans-Dieter Reidenbach; Lloyd P. Tate V.D.M.; Graham M. Watson M.D., Editor(s)

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