Author/Editor     Rebol, Janez; Nahtigal, Maja
Title     Argon laser stapedotomy
Translated title     Stapedotomija z argonskim laserjem
Type     članek
Vol. and No.     Letnik 4, št. 2
Publication year     2011
Volume     str. 18-23
ISSN     1855-5640 - Acta medico-biotechnica : AMB
Language     eng
Abstract     Namen: Namen raziskave je bil predstaviti rezultate operacij otoskleroze z argonskim laserjem. Metode: V zadnjem letu in pol je bila stapedotomija z argonskim laserjem izvedena pri 47 bolnikih. Pri vseh je bil poseg izveden v splošni anesteziji s transkanalnim pristopom, preoperativno in pooperativno je bil narejen tudi audiogram. Po operaciji smo izračunali spremembo kostnega prevajanja, kostno-zračne razlike in povprečno pooperativno kostno-zračno razliko. Rezultati: Povprečno pooperativno izboljšanje kostnega prevajanja je znašalo 4,4 dB, povprečno izboljšanje kostno-zračne razlike 22,3 dB, povprečna pooperativna kostno-zračna razlika pa je znašala 9,6 dB. Zaključek: Stapedotomija z argonskim laserjem je varna operacija, ki omogoča t.i. operiranje brez dotika struktur. Pooperativni rezultati sluha so zadovoljivi in stabilni, bolniki pa imajo pooperativno malo stranskih pojavov v smislu nestabilnosti in slabosti.Purpose: Presentation of our results of otosclerosis procedures undertaken with the argon laser. Methods: Argon laser stapedotomy was carried out in 47 patients in the last 18 months at our center. The procedure was conducted under general anesthesia using a transcanal approach. Pure-tone audiogram was done pre- and postoperatively. After each procedure, overclosure, closure of the air-bone gap and the average postoperative air-bone gap were calculated. Results: Average overclosure in all patients was 4.4 dB; average closure of the air-bone gap was 22.3 dB and average air-bone gap was 9.6 dB. Conclusion: Argon laser stapedotomy is a safe procedure that enables surgery without touching middle ear structures. Postoperative hearing results were satisfactory and stable; patients also had few problems with nausea and vertigo.
Descriptors     Otosclerosis
Otoskleroza
Otologic Surgical Procedures
Otološki kirurški postopki
Lasers
Laserji
Argon
Argon
therapy
surgery
Zdravljenje
Kirurgija
Keywords     sluh
zdravljenje
stapedotomija