Presented at the Meeting of the Southern Section of the American Laryngological, Rhinological and Otological Society, Inc., Marco Island, Fla., January 14, 1994.
Revision stapes surgery with and without laser: A comparison†
Version of Record online: 4 JAN 2009
Copyright © 1994 The Triological Society
Volume 104, Issue 12, pages 1431–1438, December 1994
How to Cite
Silverstein, H., Bendet, E., Rosenberg, S. and Nichols, M. (1994), Revision stapes surgery with and without laser: A comparison. The Laryngoscope, 104: 1431–1438. doi: 10.1288/00005537-199412000-00002
- Issue online: 4 JAN 2009
- Version of Record online: 4 JAN 2009
- Ear Research Foundation
In this study, the results of 76 revision stapes surgeries performed from 1974 to 1992 were reviewed. Either the KTP or the argon laser was used in 40 operations. Prosthesis problems were the most common cause for revision (63%) followed by eroded/ necrotic incus (29%) and adhesions (29%). Overall “success” in air-bone gap closure (air-bone gap ≤ 10 dB) was 46% for first revisions and 33% for second or greater revisions. The “improvement” rate (air-bone gap ≤ 20 dB) was 65% for first revisions and 53% for second or greater revisions. There was no statistically significant difference in hearing results between laser surgery and conventional technique. However, an absence of adhesions was noted when the laser had been used in the primary procedure.