Advantages of CO2 laser use in surgical management of otosclerosis
Background. Otosclerosis is a progressive osteo-destructive disorder of the bony labyrinth in which the fixation of the stapes causes the hearing loss. The aim of this study was the postoperative determination of parameters of the effect of surgical intervention on hearing and the incidence of compl...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2003-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500303273M.pdf |
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| author | Matković Svjetlana Kitanoski Boris Maličević Živorad |
| author_facet | Matković Svjetlana Kitanoski Boris Maličević Živorad |
| author_sort | Matković Svjetlana |
| collection | DOAJ |
| description | Background. Otosclerosis is a progressive osteo-destructive disorder of the bony labyrinth in which the fixation of the stapes causes the hearing loss. The aim of this study was the postoperative determination of parameters of the effect of surgical intervention on hearing and the incidence of complications and, on the basis of the differences in the examined parameters of the study, the estimation of the eficacy of the two mentioned surgical thechniques in the treatment of otosclerosis. Methods. In our research 40 patients with conductive hearing loss caused by otosclerosis underwent surgery with CO2 laser. Functional results were compared postoperatively with the results of 40 patients operated by the classical technique without the use of CO2 laser. The research was accomplished as a prospective comparative study. Results. The air-bone interval (gap) as the difference between the rim of air and bone conductivity for separate frequencies did not significantly differ between the control and the experimental group. Both methods were effective in closing the air-bone gap with the rates of closure to within 10 dB in 82.6% and 75.3% for the laser and drill, respectively. The incidence of tinnitus was significantly lower in patients who underwent surgery with CO2 laser. The frequency of intraoperative and postoperative complications was significantly lower in the laser group. Differences were statistically significant for all parameters (p<0.05). Conclusion. On the basis of the degree of postoperative hearing improvement, tinnitus and the incidence of complications it can be concluded that the use of CO2 laser during inverse stapedoplasty represents an effective and safe method, justifying the promotion of its use in the surgical management of otosclerosis. |
| format | Article |
| id | doaj-art-35aa3d255984478ca13f5b85b02eeab2 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2003-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-35aa3d255984478ca13f5b85b02eeab22025-08-20T02:01:39ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502003-01-0160327327810.2298/VSP0303273MAdvantages of CO2 laser use in surgical management of otosclerosisMatković SvjetlanaKitanoski BorisMaličević ŽivoradBackground. Otosclerosis is a progressive osteo-destructive disorder of the bony labyrinth in which the fixation of the stapes causes the hearing loss. The aim of this study was the postoperative determination of parameters of the effect of surgical intervention on hearing and the incidence of complications and, on the basis of the differences in the examined parameters of the study, the estimation of the eficacy of the two mentioned surgical thechniques in the treatment of otosclerosis. Methods. In our research 40 patients with conductive hearing loss caused by otosclerosis underwent surgery with CO2 laser. Functional results were compared postoperatively with the results of 40 patients operated by the classical technique without the use of CO2 laser. The research was accomplished as a prospective comparative study. Results. The air-bone interval (gap) as the difference between the rim of air and bone conductivity for separate frequencies did not significantly differ between the control and the experimental group. Both methods were effective in closing the air-bone gap with the rates of closure to within 10 dB in 82.6% and 75.3% for the laser and drill, respectively. The incidence of tinnitus was significantly lower in patients who underwent surgery with CO2 laser. The frequency of intraoperative and postoperative complications was significantly lower in the laser group. Differences were statistically significant for all parameters (p<0.05). Conclusion. On the basis of the degree of postoperative hearing improvement, tinnitus and the incidence of complications it can be concluded that the use of CO2 laser during inverse stapedoplasty represents an effective and safe method, justifying the promotion of its use in the surgical management of otosclerosis.http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500303273M.pdfotosclerosisotologic surgical proceduresstapessurgerylaser surgerytreatment outcome |
| spellingShingle | Matković Svjetlana Kitanoski Boris Maličević Živorad Advantages of CO2 laser use in surgical management of otosclerosis Vojnosanitetski Pregled otosclerosis otologic surgical procedures stapes surgery laser surgery treatment outcome |
| title | Advantages of CO2 laser use in surgical management of otosclerosis |
| title_full | Advantages of CO2 laser use in surgical management of otosclerosis |
| title_fullStr | Advantages of CO2 laser use in surgical management of otosclerosis |
| title_full_unstemmed | Advantages of CO2 laser use in surgical management of otosclerosis |
| title_short | Advantages of CO2 laser use in surgical management of otosclerosis |
| title_sort | advantages of co2 laser use in surgical management of otosclerosis |
| topic | otosclerosis otologic surgical procedures stapes surgery laser surgery treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2003/0042-84500303273M.pdf |
| work_keys_str_mv | AT matkovicsvjetlana advantagesofco2laseruseinsurgicalmanagementofotosclerosis AT kitanoskiboris advantagesofco2laseruseinsurgicalmanagementofotosclerosis AT maliceviczivorad advantagesofco2laseruseinsurgicalmanagementofotosclerosis |