Curved Adjustable Fiberoptic Laser for Endoscopic Cholesteatoma Surgery

Yau, Amy; Mahboubi, Hossein; Maducdoc, Marlon; Ghavami, Yaser; Djalilian, Hamid R.

doi:10.1097/mao.0000000000000527

Cited by 10 publications

(7 citation statements)

References 12 publications

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“…These studies were published between 1997 and 2020 and conducted in America, Asia, and Europe. Four of them were case reports, [8][9][10][11] 5 were retrospective cohort studies, [12][13][14][15][16] and 3 were prospective cohort studies. [17][18][19] Recruited participant numbers ranged from 2 8,11 to 200.…”

Section: Resultsmentioning

confidence: 99%

“…As part of their outcome measure, 9 papers 10,11,[13][14][15][16][17][18][19] looked at the presence or absence of residual disease at either a second stage operation, with diffusion-weighted magnetic resonance imaging or computed tomography scan at least 12 months after the first operation or clinical observation. There were 2 papers that had a control group and compared the outcomes of laser versus no laser, while Hamilton in 2005 17 showed that using a laser significantly reduced the chance of residual disease after 12 months, Sharma et al in 2020 19 did not report any significant difference between using the laser or not.…”

Section: Disease Eradicationmentioning

confidence: 99%

“…The other papers report their recurrence rate between 0% and 33%. 10,11,[13][14][15][16]18 Table 5 summarized the disease eradication outcomes.…”

Section: Disease Eradicationmentioning

confidence: 99%

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Lasers in Cholesteatoma Surgery: A Systematic Review

et al. 2020

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Objectives: The mainstay of cholesteatoma treatment is surgical and requires the removal of all squamous epithelium from the underlying normal structure. The application of laser technology in middle ear and mastoid surgery has shown promise in achieving both disease eradication and hearing preservation. This systematic review aims to include studies that have assessed the application of laser to the treatment of cholesteatoma and to review its outcomes in terms of disease eradication as well as hearing results. Method: Two independent researchers conducted a systematic review of the literature on MEDLINE and Cochrane library, according to PRISMA guidance. Result: The search resulted in 12 papers, reporting on 536 participants that fulfilled the inclusion criteria. The hearing results did not show that using laser surgery improved hearing in cholesteatoma surgery, but neither has the use of laser shown to deteriorate hearing. With regards to the prevention of residual/recurrent cholesteatoma, the current literature reports a residual/recurrent rate of 0% to 33%. The complication rate of facial palsy is 0.6%. Conclusion: While there is certainly a role for future studies especially randomised large-cohort prospective comparative studies, the current literature suggests that laser may have a role in prevention or minimizing of residual cholesteatoma and generally have a safe hearing outcome profile.

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Section: Resultsmentioning

confidence: 99%

Section: Disease Eradicationmentioning

confidence: 99%

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Lasers in Cholesteatoma Surgery: A Systematic Review

et al. 2020

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“…24,25 Özellikle ulaşılması zor sinüs timpani, supratubal resses ve köşe noktalara endoskop ve ucu kıvrılmış lazer probları sayesinde ulaşarak bu alanlardan kolesteatomanın temizlenmesi mümkündür. 26 Orta kulağa yerleşen vasküler tümör olan glomus timpanikumu besleyen damarların kuagülasyonunda lazerden faydalanılabilinir. Bu amaçla Nd:YAG ve CO 2 lazer kullanılmaktadır.…”

Section: Orta Kulakta Lazer Uygulamalarıunclassified

Otolojide Lazer Kullanımı

Susaman¹,

Karlıdağ²

2019

Osmangazi̇ Journal of Medicine

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Özet: Kulak Burun Boğaz (KBB) alanında son 30 yılda lazer kullanımında önemli ilerlemeler olmuştur. Lazerler, günümüzde yaygın olarak kullanılmakta ve KBB alanında birçok durumda primer tedavi veya standart tedavi haline gelmiştir. Otolojide lazer uygulamaları sınırlı olmasına karşın etkin bir şekilde kullanılmaktadır. Otoloji alanında lazerler timpanotomi ve kulak zarına ventilasyon tüpü uygulamasında, kulak zarındaki adezyonlarda, kemikçik zinciri mobilizasyonu ve remodelinginde, kolesteatoma matriksinin uzaklaştırılmasında, vasküler tümörlerin tedavisinde ve otoskleroz tedavisinde kullanılmaktadır. Lazer teknolojisinin etkili ve güvenilir profili sayesinde lazerler, otolojide çok amaçlı ve çok yönlü bir enstrüman haline gelmiştir.

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“…Endoscopic otologic surgery has been gaining popularity over the last few decades (5), and new angled instruments have been designed for endoscopic cholesteatoma surgery (6). Endoscopic otologic surgery has been gaining popularity over the last few decades (5), and new angled instruments have been designed for endoscopic cholesteatoma surgery (6).…”

mentioning

confidence: 99%

Surgical Anatomy of the Human Round Window Region

Fujita

Shin

Cunnane

et al. 2016

Otology &Amp; Neurotology

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By correlating measurement from cadaveric human temporal bones and their CT scans, we defined key parameters necessary for designing an endoscope for intracochlear imaging using a minimally invasive approach through the external auditory canal. The excellent correlation between the measurement on the CT scan and the actual shape of the probe that was able to reach the RW through the ear canal enables selection of the probe using the CT data.

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Curved Adjustable Fiberoptic Laser for Endoscopic Cholesteatoma Surgery

Cited by 10 publications

References 12 publications

Lasers in Cholesteatoma Surgery: A Systematic Review

Lasers in Cholesteatoma Surgery: A Systematic Review

Otolojide Lazer Kullanımı

Surgical Anatomy of the Human Round Window Region

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