Was können wir von der operativen Entfernung des Steigbügels bei Steigbügel-Vorhofankylose zum Zweck der Hörverbesserung erhoffen?

Grunert,

doi:10.1007/bf01804092

Cited by 10 publications

(2 citation statements)

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“…Jack 16 in 1893 presented 60 cases and noted that the results were inconsistent, regardless of whether a mobilization or stapedectomy was performed. Grunert 17 observed pathological changes in the round window and was one of the first to recognize that there may be a relationship between the oval and round window and that round window disease may negatively impact the results of even well‐performed surgery. Siebenmann 18 in 1900 was apparently very influential in abandonment of the stapes operations.…”

Section: History Of Stapes Surgerymentioning

confidence: 99%

Laser‐Assisted Endoscopic Stapedectomy: A Prospective Study

Poe

2000

The Laryngoscope

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Objective: To improve the techniques required to perform a stapedotomy without prosthesis (stapedioplasty). Study Design: New infrared lasers were evaluated for potential use in otological surgery in guinea pigs. A prospective human trial of 34 primary stapes operations using the Argon ion laser was performed, with 11 stapedioplasties and 23 conventional stapedotomies as controls. Methods: Laser-tissue interactions were evaluated for temporal bone and live guinea pig tissues, measuring crater histology and labyrinthine temperature elevations. Patients undergoing stapedioplasty had Argon ion laser cuts with endoscopic assistance made in the anterior crus and footplate to mobilize the posterior segment of the stapes while the anterior portion remained fixed. Results: Diode laser (808-nm) vaporization craters and temperature elevations in the vestibule were suitable for clinical use. Overall, stapedioplasty patients' hearing was improved with air-bone gap closure to a mean of 8.3 dB (SD ؎ 9.8 dB). Conclusions: Patients with anterior footplate otosclerosis are candidates for stapedioplasty preserving the annular ring and stapes tendon and eliminating prosthesis complications. High-resolution small endoscopes, coupled with Argon ion or diode lasers promise to improve stapes visualization, enhancing the ability to perform minimally invasive surgery on the stapes footplate.

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Section: History Of Stapes Surgerymentioning

confidence: 99%

Laser‐Assisted Endoscopic Stapedectomy: A Prospective Study

Poe

2000

The Laryngoscope

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“…Stapedectomy has been performed since the late 1800s by surgeons such as Jack (1), Boucheron (2), Kessel (3), Miot (4), and Grunert (5). The stapedectomies performed at that time were either mobilizations or removal of the entire footplate; they were performed for both Binflammatory[ (chronic otitis media) and Bnoninflammatory[ indications and were left to heal without grafting the oval window.…”

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confidence: 99%