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Is CO2 Laser Or Conventional Surgery Better For Stapedectomy?

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Posted on Wed, 9 Sep 2015
Question: Which surgery is better for stepedotomy? CO2 Laser or conventional (manual) ? Why ?
doctor
Answered by Dr. Sumit Bhatti (25 minutes later)
Brief Answer:
Laser stapedectomy is better.

Detailed Answer:
Hi,

Thank you for your query.

1. Laser stapedectomy is better than conventional stapedectomy.

2. Lasers enable a precise bloodless hole in the footplate of the stapes to be made without any mechanical trauma to the inner ear, especially with a CO2 laser. Thus decrease the incidence of vertigo, tinnitus and hearing loss due to the surgery, thus giving better results than conventional surgery. Removal of the supra structure of the stapes is also atraumatic.

3. Disadvantages include cost, more time consuming, additional instrumentation, thermal damage to surrounding structures such as the facial nerve.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (11 hours later)
which is best of following prosthesis?
http://www.eonmeditech.com/otology.html
or suggest some other better material with explanation from your end.
Thanks in advance.
Regards,
XXXX
doctor
Answered by Dr. Sumit Bhatti (15 hours later)
Brief Answer:
Let your surgeon decide the prosthesis.

Detailed Answer:
Hi,

Thank you for your query.

1. The most commonly used material for the prosthesis is teflon (PTFE). EON or Gyrus will be fine.

2. Titanium and titanium with teflon are the next options. EON or Kurz prosthesis should be fine.

3. Nitinol is the most expensive. It is a memory metal.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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Is CO2 Laser Or Conventional Surgery Better For Stapedectomy?

Brief Answer: Laser stapedectomy is better. Detailed Answer: Hi, Thank you for your query. 1. Laser stapedectomy is better than conventional stapedectomy. 2. Lasers enable a precise bloodless hole in the footplate of the stapes to be made without any mechanical trauma to the inner ear, especially with a CO2 laser. Thus decrease the incidence of vertigo, tinnitus and hearing loss due to the surgery, thus giving better results than conventional surgery. Removal of the supra structure of the stapes is also atraumatic. 3. Disadvantages include cost, more time consuming, additional instrumentation, thermal damage to surrounding structures such as the facial nerve. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.