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European Archives of Oto-Rhino-Laryngology

Open Access 14-01-2024 | Laser | Otology

Conventional vs. diode laser stapedotomy: audiological outcomes and clinical safety

Authors: Leonardo Elías Ordóñez Ordóñez, Daniela Cerón Perdomo, Claudia Paola González Saboya, Felipe Osorio Mejía, Jorge Medina-Parra, Esther Sofía Angulo Martínez

Published in: European Archives of Oto-Rhino-Laryngology

Abstract

Purpose

To compare the hearing results and clinical safety of patients undergoing stapes surgery with conventional technique and diode laser.

Methods

Retrospective observational study, which included patients treated with primary stapes surgery performed between January 2009 and January 2020. Three audiometric measurements (PTA, GAP and SDS) were evaluated as main results, evaluated by analysis of covariance (controlling the preoperative value). Intraoperative and postoperative complications were also analyzed. Outcomes were measured 6 months (± 1 month) after surgery.

Results

153 cases were included, 97 operated with conventional technique and 56 with laser technique. Postoperative GAP ≤ 10 dB was obtained in 85.6% of the total sample, 82.5% in the conventional technique and 91.1% in the laser technique. Analysis of covariance showed no significant differences in the three surgery outcomes between the two groups (PTA, p = 0.277; GAP, p = 0.509 and SDS, p = 0.530). Regarding surgical complications, sensorineural damage was higher in the conventional technique group (p = 0.05). On the other hand, there were four cases of facial paresis, all in the laser group, three of them with the 980 nm laser.

Conclusions

Stapedotomy offered a high percentage of hearing success in the two groups studied. There were no significant differences in audiometric result, but there was a differential presentation of complications, being more frequent sensorineural hearing loss in the conventional technique group and facial paresis in the laser group.

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Title: Conventional vs. diode laser stapedotomy: audiological outcomes and clinical safety
Authors: Leonardo Elías Ordóñez Ordóñez
Daniela Cerón Perdomo
Claudia Paola González Saboya
Felipe Osorio Mejía
Jorge Medina-Parra
Esther Sofía Angulo Martínez
Publication date: 14-01-2024
Publisher: Springer Berlin Heidelberg
Keywords: Laser
Diode Laser
Otosclerosis
Published in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-08429-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Conventional vs. diode laser stapedotomy: audiological outcomes and clinical safety

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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