Supplement Article
High precision cochleostomy by use of a pulsed CO2 laser – an experimental approach
Article first published online: 4 FEB 2009
DOI: 10.1002/cii.394
Copyright © 2009 John Wiley & Sons, Ltd.
Issue
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Cochlear Implants International
Supplement: Commemorating 6th Congress of the Asia Pacific Symposium on Cochlear Implant and Related Sciences (APSCI)
Volume 10, Issue S1, pages 58–62, 2009
Additional Information
How to Cite
Klenzner, T., Knapp, F. B., Schipper, J., Raczkowsky, J., Woern, H., Kahrs, L. A., Werner, M. and Hering, P. (2009), High precision cochleostomy by use of a pulsed CO2 laser – an experimental approach. Cochlear Implants International, 10: 58–62. doi: 10.1002/cii.394
Publication History
- Issue published online: 18 FEB 2009
- Article first published online: 4 FEB 2009
- Abstract
- References
- Cited By
Keywords:
- bone;
- precision;
- cochleostomy;
- digital image processing;
- laser
Abstract
A precise cochleostomy is a crucial step in cochlear implantation, particularly if residual hearing is to be preserved. A contactless ablation of the promontory bone by a pulsed CO2 laser system seems to be a promising approach. The bone is removed by a scan head controlled laser beam in sequential scan cycles with a pulse rate of 50–100 μs. Digital picture analysis and pattern detection are used to identify the membranous lining of the cochlea. We achieved a bone ablation in a micrometer range per scan cycle with the laser. A perforation of the promontory bone could be detected by automatic pattern detection. The enhancement of automatic pattern detection can lead to a minimally invasive, function-preserving laser cochleostomy. Copyright © 2009 John Wiley & Sons, Ltd.

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