KTPレーザーを用いたlaser stapedotomy minus prosthesis

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  • Laser stapedotomy minus prosthesis using a KTP laser

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Silverstein reported a new surgical technique, laser stapedotomy minus prosthesis (laser STAMP), for otosclerotic lesions in 1998. We studied the effectiveness of this technique in two consecutive Japanese patients, using a KTP laser instead of an argon laser. Silverstein stated that a crucial feature of this procedure is vaporizing the anterior crus, and mentioned the effectiveness of using a bended laser probe under endoscopic visualization. We applied a Rosen suction tube to hold the quartz fiber of a KTP laser and bend it so that the laser beam vaporized the anterior crus. The postoperative courses were uneventful and hearing level was improved, with a negligible air-bone conduction gap in both cases. Although the follow-up period was relatively short, our results confirmed that the laser STAMP could be a new alternative for the treatment of otosclerosis, especially whose otosclerotic lesions are isolated to around the fissula ante fenestram.

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