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At the meeting of the Southern Section of the Triological Society in Naples, Fla, Drs Herbert Silverstein and Seth Rosenberg, Sarasota, Fla, and Dr Raleigh Jones, Lexington, Ky, presented a paper comparing small fenestra stapedotomies with and without the KTP 532 laser. Thirty-three consecutive cases of small fenestra stapedotomies using conventional techniques were compared with 33 consecutive stapedotomies using the argon or KTP 532 laser. The ossicular chain was reconstructed using a polytef wire piston (0.6 mm in diameter). Of the group that underwent laser therapy, 91% had either overclosure of the air-bone gap or closure within 10 dB, as compared with 72% of the patients who underwent an operation using conventional techniques. The KTP laser offered advantages in that the surgeon was able to produce an atraumatic bloodless opening in a fixed or mobile stapes without mechanical manipulation. The laser was used to lyse the stapedius tendon, vaporize the
PILLSBURY HC. Comparison of Small Fenestra Stapedotomies With and Without KTP 532 Laser. Arch Otolaryngol Head Neck Surg. 1989;115(9):1027. doi:10.1001/archotol.1989.01860330017004
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