Stapedioplasty: A New Concept for Stapes Surgery

Juers, Arthur L.

doi:10.1001/archotol.1960.03770020177023

Cited by 5 publications

(2 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Juers 38,39 in 1959 and 1960 presented what he called a stapedioplasty, excision of the anterior crus, anterior footplate, and mobilization of the posterior crus. Goodhill 40 has termed this procedure a stapediolysis.…”

Section: History Of Stapes Surgerymentioning

confidence: 99%

Laser‐Assisted Endoscopic Stapedectomy: A Prospective Study

Poe

2000

The Laryngoscope

View full text Add to dashboard Cite

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.

show abstract

Section: History Of Stapes Surgerymentioning

confidence: 99%

Laser‐Assisted Endoscopic Stapedectomy: A Prospective Study

Poe

2000

The Laryngoscope

View full text Add to dashboard Cite

show abstract

“…In the few cases where stapedectomy is technically very difficult and may be too traumatic to the membranous labyrinth, the fenestration novovalis of Lempert might bet¬ ter be done. 101 E. 73d St. (21).…”

Section: Direct Footplate Mobilizations Withmentioning

confidence: 99%