medigraphic.com
ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2014, Number 2

<< Back Next >>

An Med Asoc Med Hosp ABC 2014; 59 (2)

CO2 laser stapedectomy: Regional Hospital «General Ignacio Zaragoza» experience

Gutiérrez ECA, Romero TR

Language: Spanish
References: 16
Page: 91-94
PDF size: 195.12 Kb.


ABSTRACT

Otosclerosis, exclusive of the human condition, is confined to the otic capsule, as a result of this process is progressive hearing loss, affects predominantly female, in an age range of 20-40 years, the diagnosis is clinical and confirmed by conventional audiometric tests. The treatment of choice in advanced phases of the disease is the stapedectomy, wich implemented in the middle of the last century and refined by employing laser system at the end of the decade of the 70. A number of 55 were treated with laser stapedectomy in Regional Hospital «General Ignacio Zaragoza» of ISSSTE between March 2009 and April 2012. Satisfactory results were obtained in more than 80% of the patients after surgery, registered audiometry, obtaining an average gain of 33 dB, only one present a complication consisting to the formation of a granuloma. Decrease was recorded in the symptomatology in the immediate postsurgical period, with consequent reinstatement to activities of daily living, demonstrating that adjuvant use of laser system offers advantages in reducing manipulation in middle ear. This not a significant in the way that does not replace traditional surgery, considering it is an excellent tool for experienced surgeons.


REFERENCES

  1. Papparella M. Otolaringology. Philadelphia: Saunders; 1991.

  2. Friedmann I. Pathology of ear. Edinburgh: Churchill Livingstone; 1993.

  3. Menger DJ, Tange RA. The aetiology of otosclerosis: a review of the literature. Clin Otolaryngol. 2003; 28(2): 112-120.

  4. Flint P. Cummings otolaryngology head and neck surgery. Philadelphia: Mosby Elsevier; 2010.

  5. Sheehy JL, Gardner G Jr, Hambley WM. Turning fork test in the modern otology. Arch Otolaryngol Head Neck Surg. 1971; 94: 132.

  6. Perkins RC. Laser stepedotomy for otosclerosis. Laryngoscope. 1980; 90(2): 228-240.

  7. Lundy L. The effect of CO2 and KTP laser on the cat saccule and utricle. Laryngoscope. 2009; 119(8): 1594-1605.

  8. De la Cruz A. Otosclerosis patología y tratamiento. Lima: Trilce; 2001.

  9. Di Bartolomeo JR, Ellis M. The argon laser in otology. Laryngoscope. 1980; 90 (11 Pt 1): 1786-1796.

  10. Haberkamp TA, Harvey SA, Khafagy Y. Revision stapedectomy with and without the CO2 laser: analysis of results. Am J Otol. 1996; 17 (2): 225-229.

  11. Kartush JM, McGee TM. Controversies in laser stapedectomy. Insights Otolaryngol. 1991; 6: 14-18.

  12. Hornung JA, Brase C, Bozzato A, Zenk J, Schick B, Iro H. Retrospective analysis f the results of implanting Nitinol pistons with heat-crimping pistons loops in stapes surgery. Eur Arch Otorhinolaryngol. 2010; 267: 27-34.

  13. Shabana YK, Allam H, Pedersen CB. Laser stapedotomy. J Laryngol Otol. 1999; 113: 413-416.

  14. Babighian G, Fontana M, Caltran S. The heat-activated stapes prosthesis SMart piston: technique and preliminary results. Adv Otorhinolaryngol. 2007; 65: 190-196.

  15. Fayad JN, Semann MT, Meier JC, House JW. Hearing results using the SMart piston prosthesis. Otol Neurotol. 2009; 30: 1122-1127.

  16. Somers T, Govaerts P, Marquet T, Offeciers E. Statistical analysis of otosclerosis surgery performed by Jean Marquet. Ann Otol Rhinol Laryngol. 1994; 103: 945-951.




2020     |     www.medigraphic.com