Safety and Effectiveness of Diode Laser Used in Stapes Surgery

Zhou, Wenwen; Liu, Lingyuan; Liu, Lei; Song, Jiaruo; Tan, Songhua; Tang, Anzhou

doi:10.1089/photob.2022.0077

Cited by 1 publication

(1 citation statement)

References 37 publications

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“…Literature indicates that the most notable postoperative changes after stapes surgery, such as hearing improvement and auditory outcome stabilization, typically occur within 3 to 6 months, 19,20 making this period ideal for observing significant developments. This timeframe also aligns with standard durations in similar studies, [19][20][21] ensuring comparability of our results with existing research. Furthermore, it represents a balanced approach, considering the necessity to gather meaningful intermediate-term data while managing logistical challenges like patient availability and project timelines.…”

Section: Incus Necrosissupporting

confidence: 82%

Modified stapes surgery for otosclerosis: An evaluation of auditory results and post-operative complications

Chang,

Chau,

Liu

et al. 2024

Journal of the Chinese Medical Association

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Background: The senior author Shiao, had introduced a modified version of the traditional stapes surgery, called minimally traumatic stapes surgery (MTSS), and explored its effectiveness in reducing postoperative vertigo. However, MTSS exhibited no significant breakthrough in terms of audiometric results. Building upon the original MTSS through slight modifications and the use of the Medtronic Big Easy® Piston as the prosthesis, this study evaluates a refined version of the original MTSS technique. In particular, this research sought to investigate the impact of this refined approach on hearing outcomes and postoperative complications among patients diagnosed with otosclerosis. Methods: This research comprehensively examined the medical records of individuals diagnosed with otosclerosis who underwent MTSS. The postoperative outcomes assessed encompassed hearing outcomes and the occurrence of any new complications. Results: Overall, 95 patients diagnosed with otosclerosis (comprising 106 affected ears) underwent MTSS. Significant improvements in both the average air conduction threshold (40 ± 16.82 dB after vs 60 ± 14.56 dB before surgery; p < 0.0001) and average air–bone gap (11.99 ± 7.24 dB after vs 29.65 ± 9.47 dB before surgery; p = 0.003) were observed after the surgery. Conversely, no significant change in the average bone conduction threshold was observed after the procedure (28 ± 13.81 dB after vs 29 ± 12.31 dB before surgery; p = 0.149). Among the 106 affected ears, 102 showed postoperative air–bone gap measurements <20 dB, indicating an impressive 96.2% overall hearing improvement. Notably, only a few postoperative complications were observed, including vertigo, chorda tympani injury, facial weakness, and a slight hearing deterioration. Conclusion: The refined MTSS technique promoted significant postoperative hearing improvements with minimal complications. This approach showed potential for addressing the surgical challenges in Asian patients with otosclerosis, emphasizing the importance of further research on this advanced procedural method.

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