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A nonrandomized comparison of the thulium laser and the CO2 laser in primary stapedotomy for otosclerosis.

Identifieur interne : 000218 ( PubMed/Checkpoint ); précédent : 000217; suivant : 000219

A nonrandomized comparison of the thulium laser and the CO2 laser in primary stapedotomy for otosclerosis.

Auteurs : Digna M A. Kamalski [France] ; Robert Vincent ; Inge Wegner ; Arnold J N. Bittermann ; Wilko Grolman

Source :

RBID : pubmed:25299834

Descripteurs français

English descriptors

Abstract

Comparing hearing results in patients with otosclerosis treated with laser-assisted stapedotomy using the 2-μm thulium laser or the CO2 laser.

DOI: 10.1097/MAO.0000000000000589
PubMed: 25299834


Affiliations:


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pubmed:25299834

Le document en format XML

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<title xml:lang="en">A nonrandomized comparison of the thulium laser and the CO2 laser in primary stapedotomy for otosclerosis.</title>
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<name sortKey="Kamalski, Digna M A" sort="Kamalski, Digna M A" uniqKey="Kamalski D" first="Digna M A" last="Kamalski">Digna M A. Kamalski</name>
<affiliation wicri:level="1">
<nlm:affiliation>*Department of Otorhinolaryngology-Head and Neck Surgery, and †Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; and ‡Jean Causse Ear Clinic, Traverse de Béziers, Colombiers, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>*Department of Otorhinolaryngology-Head and Neck Surgery, and †Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; and ‡Jean Causse Ear Clinic, Traverse de Béziers, Colombiers</wicri:regionArea>
<wicri:noRegion>Colombiers</wicri:noRegion>
<wicri:noRegion>Colombiers</wicri:noRegion>
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<name sortKey="Vincent, Robert" sort="Vincent, Robert" uniqKey="Vincent R" first="Robert" last="Vincent">Robert Vincent</name>
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<name sortKey="Wegner, Inge" sort="Wegner, Inge" uniqKey="Wegner I" first="Inge" last="Wegner">Inge Wegner</name>
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<name sortKey="Bittermann, Arnold J N" sort="Bittermann, Arnold J N" uniqKey="Bittermann A" first="Arnold J N" last="Bittermann">Arnold J N. Bittermann</name>
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<name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name>
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<nlm:affiliation>*Department of Otorhinolaryngology-Head and Neck Surgery, and †Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; and ‡Jean Causse Ear Clinic, Traverse de Béziers, Colombiers, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>*Department of Otorhinolaryngology-Head and Neck Surgery, and †Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; and ‡Jean Causse Ear Clinic, Traverse de Béziers, Colombiers</wicri:regionArea>
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<name sortKey="Vincent, Robert" sort="Vincent, Robert" uniqKey="Vincent R" first="Robert" last="Vincent">Robert Vincent</name>
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<title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title>
<idno type="eISSN">1537-4505</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Hearing (physiology)</term>
<term>Humans</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Gas</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Otosclerosis (surgery)</term>
<term>Prospective Studies</term>
<term>Stapes Surgery (methods)</term>
<term>Thulium</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie de l'étrier ()</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lasers à gaz</term>
<term>Mâle</term>
<term>Otosclérose ()</term>
<term>Ouïe (physiologie)</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Thulium</term>
<term>Thérapie laser ()</term>
<term>Études prospectives</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en">
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Laser Therapy</term>
<term>Stapes Surgery</term>
</keywords>
<keywords scheme="MESH" qualifier="physiologie" xml:lang="fr">
<term>Ouïe</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Hearing</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Otosclerosis</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Lasers, Gas</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
<term>Treatment Outcome</term>
</keywords>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Chirurgie de l'étrier</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lasers à gaz</term>
<term>Mâle</term>
<term>Otosclérose</term>
<term>Résultat thérapeutique</term>
<term>Sujet âgé</term>
<term>Thulium</term>
<term>Thérapie laser</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">Comparing hearing results in patients with otosclerosis treated with laser-assisted stapedotomy using the 2-μm thulium laser or the CO2 laser.</div>
</front>
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<PMID Version="1">25299834</PMID>
<DateCreated>
<Year>2014</Year>
<Month>11</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>08</Month>
<Day>28</Day>
</DateCompleted>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1537-4505</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>35</Volume>
<Issue>10</Issue>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title>
<ISOAbbreviation>Otol. Neurotol.</ISOAbbreviation>
</Journal>
<ArticleTitle>A nonrandomized comparison of the thulium laser and the CO2 laser in primary stapedotomy for otosclerosis.</ArticleTitle>
<Pagination>
<MedlinePgn>1715-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000000589</ELocationID>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Comparing hearing results in patients with otosclerosis treated with laser-assisted stapedotomy using the 2-μm thulium laser or the CO2 laser.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective nonrandomized clinical study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">In a tertiary referral center in France (Jean Causse Ear Clinic, Béziers), 208 primary stapedotomies were performed in 204 patients between March 2008 and November 2009. Sufficient follow-up data were available for 194 procedures.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The fenestration in the footplate was made with the thulium laser in 98 procedures and with a flexible CO2 laser in 96 procedures. Preoperative and postoperative audiometric results were compared. Side effects, such as vertigo and tinnitus, were scored.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients treated with the CO2 laser had better hearing outcome compared with those treated with the thulium laser at both 3 and 12 months of follow-up. At 3 months, the success of the surgery, defined as closure of the air-bone gap to within 10 dB, was 90.0% in the thulium group compared with 96.8% in the CO2 group. Bone conduction shift showed an overall deterioration of 1.6 dB (standard deviation, 6.9 dB) in the thulium group compared with an improvement of 1.3 dB (standard deviation, 4 dB) in the CO2 group. In the thulium group, there were four patients with sensorineural hearing loss (4.4%) and three with tinnitus (3.1%) compared with none in the CO2 group.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Stapedotomy surgery performed with a fiber-delivered thulium laser resulted in a higher chance of inner ear damage measured by bone conduction shift compared with the use of a fiber-delivered CO2 laser. We advise not to use the thulium laser for stapedotomy.</AbstractText>
</Abstract>
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<LastName>Kamalski</LastName>
<ForeName>Digna M A</ForeName>
<Initials>DM</Initials>
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<Affiliation>*Department of Otorhinolaryngology-Head and Neck Surgery, and †Brain Center Rudolf Magnus, University Medical Center Utrecht, Utrecht, The Netherlands; and ‡Jean Causse Ear Clinic, Traverse de Béziers, Colombiers, France.</Affiliation>
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<DescriptorName MajorTopicYN="N" UI="D011446">Prospective Studies</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
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<name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name>
<name sortKey="Vincent, Robert" sort="Vincent, Robert" uniqKey="Vincent R" first="Robert" last="Vincent">Robert Vincent</name>
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