Comparing mechanical effects and sound production of KTP, thulium, and CO2 laser in stapedotomy.
Identifieur interne : 000161 ( PubMed/Corpus ); précédent : 000160; suivant : 000162Comparing mechanical effects and sound production of KTP, thulium, and CO2 laser in stapedotomy.
Auteurs : Digna M A. Kamalski ; Rudolf M. Verdaasdonk ; Tjeerd De Boorder ; Robert Vincent ; Huib Versnel ; Wilko GrolmanSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2014.
English descriptors
- KwdEn :
- MESH :
- chemical : Thulium.
- methods : Fenestration, Labyrinth, Laser Therapy, Stapes Surgery.
- Humans, Lasers, Gas, Lasers, Solid-State, Models, Anatomic, Noise, Perilymph.
Abstract
The mechanical and acoustic effects that occur during laser-assisted stapedotomy differ among KTP, CO2, and thulium lasers.
DOI: 10.1097/MAO.0000000000000465
PubMed: 24979128
Links to Exploration step
pubmed:24979128Le document en format XML
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<author><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><nlm:affiliation>*Department of Otorhinolaryngology and Head & Neck Surgery, †Brain Center Rudolf Magnus, University Medical Center Utrecht; ‡Department of Physics and Medical Technology, VU University Medical Center Amsterdam; §Department of Medical Technology and Clinical Physics, University Medical Center Utrecht, The Netherlands; and ∥Jean Causse Ear Clinic, Transverse de Béziers, Colombiers, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Verdaasdonk, Rudolf M" sort="Verdaasdonk, Rudolf M" uniqKey="Verdaasdonk R" first="Rudolf M" last="Verdaasdonk">Rudolf M. Verdaasdonk</name>
</author>
<author><name sortKey="De Boorder, Tjeerd" sort="De Boorder, Tjeerd" uniqKey="De Boorder T" first="Tjeerd" last="De Boorder">Tjeerd De Boorder</name>
</author>
<author><name sortKey="Vincent, Robert" sort="Vincent, Robert" uniqKey="Vincent R" first="Robert" last="Vincent">Robert Vincent</name>
</author>
<author><name sortKey="Versnel, Huib" sort="Versnel, Huib" uniqKey="Versnel H" first="Huib" last="Versnel">Huib Versnel</name>
</author>
<author><name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Comparing mechanical effects and sound production of KTP, thulium, and CO2 laser in stapedotomy.</title>
<author><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><nlm:affiliation>*Department of Otorhinolaryngology and Head & Neck Surgery, †Brain Center Rudolf Magnus, University Medical Center Utrecht; ‡Department of Physics and Medical Technology, VU University Medical Center Amsterdam; §Department of Medical Technology and Clinical Physics, University Medical Center Utrecht, The Netherlands; and ∥Jean Causse Ear Clinic, Transverse de Béziers, Colombiers, France.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Verdaasdonk, Rudolf M" sort="Verdaasdonk, Rudolf M" uniqKey="Verdaasdonk R" first="Rudolf M" last="Verdaasdonk">Rudolf M. Verdaasdonk</name>
</author>
<author><name sortKey="De Boorder, Tjeerd" sort="De Boorder, Tjeerd" uniqKey="De Boorder T" first="Tjeerd" last="De Boorder">Tjeerd De Boorder</name>
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<author><name sortKey="Vincent, Robert" sort="Vincent, Robert" uniqKey="Vincent R" first="Robert" last="Vincent">Robert Vincent</name>
</author>
<author><name sortKey="Versnel, Huib" sort="Versnel, Huib" uniqKey="Versnel H" first="Huib" last="Versnel">Huib Versnel</name>
</author>
<author><name sortKey="Grolman, Wilko" sort="Grolman, Wilko" uniqKey="Grolman W" first="Wilko" last="Grolman">Wilko Grolman</name>
</author>
</analytic>
<series><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>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Fenestration, Labyrinth (methods)</term>
<term>Humans</term>
<term>Laser Therapy (methods)</term>
<term>Lasers, Gas</term>
<term>Lasers, Solid-State</term>
<term>Models, Anatomic</term>
<term>Noise</term>
<term>Perilymph</term>
<term>Stapes Surgery (methods)</term>
<term>Thulium</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Fenestration, Labyrinth</term>
<term>Laser Therapy</term>
<term>Stapes Surgery</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Lasers, Gas</term>
<term>Lasers, Solid-State</term>
<term>Models, Anatomic</term>
<term>Noise</term>
<term>Perilymph</term>
</keywords>
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<front><div type="abstract" xml:lang="en">The mechanical and acoustic effects that occur during laser-assisted stapedotomy differ among KTP, CO2, and thulium lasers.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">24979128</PMID>
<DateCreated><Year>2014</Year>
<Month>08</Month>
<Day>13</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>08</Month>
<Day>21</Day>
</DateCompleted>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>35</Volume>
<Issue>7</Issue>
<PubDate><Year>2014</Year>
<Month>Aug</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>Comparing mechanical effects and sound production of KTP, thulium, and CO2 laser in stapedotomy.</ArticleTitle>
<Pagination><MedlinePgn>1156-62</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000000465</ELocationID>
<Abstract><AbstractText Label="HYPOTHESIS" NlmCategory="OBJECTIVE">The mechanical and acoustic effects that occur during laser-assisted stapedotomy differ among KTP, CO2, and thulium lasers.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Making a fenestration in stapedotomy with a laser minimizes the risk of a floating footplate caused by mechanical forces. Theoretically, the lasers used in stapedotomy could inflict mechanical trauma because of absorption in the perilymph, causing vaporization bubbles. These bubbles can generate a shock wave, when imploding.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In an inner ear model, we made a fenestration in a fresh human stapes with KTP, CO2, and thulium laser. During the fenestration, we performed high-speed imaging from different angles to capture mechanical effects. The sounds produced by the fenestration were recorded simultaneously with a hydrophone; these recordings were compared with acoustics produced by a conventional microburr fenestration.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">KTP laser fenestration showed little mechanical effects, with minimal sound production. With CO2 laser, miniscule bubbles arose in the vestibule; imploding of these bubbles corresponded to the acoustics. Thulium laser fenestration showed large bubbles in the vestibule, with a larger sound production than the other two lasers. Each type of laser generated significantly less noise than the microburr. The microburr maximally reached 95 ± 7 dB(A), compared with 49 ± 8 dB(A) for KTP, 68 ± 4 dB(A) for CO2, and 83 ± 6 dB(A) for thulium.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Mechanical and acoustic effects differ among lasers used for stapedotomy. Based on their relatively small effects, KTP and CO2 lasers are preferable to thulium laser.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kamalski</LastName>
<ForeName>Digna M A</ForeName>
<Initials>DM</Initials>
<AffiliationInfo><Affiliation>*Department of Otorhinolaryngology and Head & Neck Surgery, †Brain Center Rudolf Magnus, University Medical Center Utrecht; ‡Department of Physics and Medical Technology, VU University Medical Center Amsterdam; §Department of Medical Technology and Clinical Physics, University Medical Center Utrecht, The Netherlands; and ∥Jean Causse Ear Clinic, Transverse de Béziers, Colombiers, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Verdaasdonk</LastName>
<ForeName>Rudolf M</ForeName>
<Initials>RM</Initials>
</Author>
<Author ValidYN="Y"><LastName>de Boorder</LastName>
<ForeName>Tjeerd</ForeName>
<Initials>T</Initials>
</Author>
<Author ValidYN="Y"><LastName>Vincent</LastName>
<ForeName>Robert</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Versnel</LastName>
<ForeName>Huib</ForeName>
<Initials>H</Initials>
</Author>
<Author ValidYN="Y"><LastName>Grolman</LastName>
<ForeName>Wilko</ForeName>
<Initials>W</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Otol Neurotol</MedlineTA>
<NlmUniqueID>100961504</NlmUniqueID>
<ISSNLinking>1531-7129</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber>
<NameOfSubstance UI="D013932">Thulium</NameOfSubstance>
</Chemical>
</ChemicalList>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D005276">Fenestration, Labyrinth</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D053685">Laser Therapy</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D054020">Lasers, Gas</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D053844">Lasers, Solid-State</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008953">Models, Anatomic</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D009622">Noise</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010498">Perilymph</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013201">Stapes Surgery</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName>
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