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April 1986

Outpatient Laser Surgery for Otosclerosis

Author Affiliations

Galveston, Tex

Arch Otolaryngol Head Neck Surg. 1986;112(4):375. doi:10.1001/archotol.1986.03780040015004

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Surgery for otosclerosis can be managed as an outpatient procedure, according to Rodney Perkins, MD, Palo Alto, Calif.

At the October 1985 meeting of the Academy of Otolaryngology—Head and Neck Surgery in Atlanta, Dr Perkins described 56 patients with otosclerosis who had undergone laser stapedotomy on an outpatient basis. "The essential lack of vibratory trauma to the labyrinthine receptors attendant to laser fenestration of the stapes footplate is reflected in virtually no postoperative morbidity," Perkins reported. "This minimalization of postoperative labyrinthine disturbance makes outpatient care possible and provides significant reduction in cost of care and time away from occupational activities," he added.

The laser stapedotomy technique was developed by Dr Perkins at the California Ear Institute in Palo Alto in 1978. A visible wave-length laser is used to vaporize the stapes tendon and both crura. Then, a rosette of vaporization holes is created to form a footplate fenestra with a

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