Hodgson R S, Wilson D F
Ear Medical Group, Inc., Portland, Ore. 97209.
Laryngoscope. 1991 Mar;101(3):230-3. doi: 10.1288/00005537-199103000-00002.
Lasers have been used in otology for 10 years. There have been reports of excellent hearing results using laser energy in surgery for otosclerosis. We used the argon laser in 75 consecutive primary stapedotomy procedures. The postoperative air-bone gap was 10 dB or less in 87% of patients and 20 dB or less in 95%. One ear (1.5%) had no postoperative hearing secondary to a granulomatous reaction. Complications were otherwise uncommon and mild. Most patients were treated on an outpatient basis. Our results compare favorably with other reports of laser surgery for otosclerosis. We conclude that excellent hearing results can be obtained using the argon laser for stapedotomy procedures.
激光已在耳科学中应用了10年。有报道称，在耳硬化症手术中使用激光能量可取得出色的听力恢复效果。我们连续对75例患者进行了原发性镫骨切除术，并使用了氩激光。术后，87%的患者气骨导间距为10dB或更小，95%的患者气骨导间距为20dB或更小。有一只耳朵（1.5%）因肉芽肿反应术后听力未恢复。其他并发症并不常见且症状较轻。大多数患者在门诊接受治疗。我们的结果与其他关于耳硬化症激光手术的报道相比更具优势。我们得出结论，使用氩激光进行镫骨切除术可取得出色的听力恢复效果。
