دورية أكاديمية
أعرض في EDS

Microdrill Versus Diode Laser in Endoscopic Stapedotomy: A Comparative Study.

التفاصيل البيبلوغرافية
العنوان: Microdrill Versus Diode Laser in Endoscopic Stapedotomy: A Comparative Study.
المؤلفون: Wang D; ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University and Key Laboratory of Hearing Medicine of National Health and Family Planning Commission (NHFPC), Shanghai 200031, China., Peng F; Department of otolaryngology, Taizhou Central Hospital, Taizhou 318000, China., Lin N; Otolaryngology Treatment Room, Affiliated Eye and ENT Hospital, Fudan University, Shanghai 200031, China., Wang W; ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University and Key Laboratory of Hearing Medicine of National Health and Family Planning Commission (NHFPC), Shanghai 200031, China.
المصدر: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] 2024 Jun 01; Vol. 45 (5), pp. 489-494. Date of Electronic Publication: 2024 Mar 26.
نوع المنشور: Journal Article; Randomized Controlled Trial; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100961504 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1537-4505 (Electronic) Linking ISSN: 15317129 NLM ISO Abbreviation: Otol Neurotol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2001-
مواضيع طبية MeSH: Stapes Surgery*/methods , Otosclerosis*/surgery , Lasers, Semiconductor*/therapeutic use , Endoscopy*/methods , Bone Conduction*, Humans ; Female ; Male ; Adult ; Middle Aged ; Treatment Outcome ; Laser Therapy/methods ; Operative Time
مستخلص: Background: Microdrill and diode laser are two different methods used in endoscopic stapedotomy for otosclerosis. These two methods have not been compared in endoscopic stapedotomy.
Aims/objectives: To analyze the differences between microdrill and diode laser in endoscopic stapedotomy for otosclerosis.
Materials and Methods: This is a randomized clinical trial; patients with otosclerosis were randomly divided into microdrill group (group A: n = 69) and diode laser group (group B: n = 62). Differences between the two groups were then compared.
Results: The preoperative air-bone gap (ABG) was 25.40 ± 10.88 dBHL in group A and 24.84 ± 12.23 dBHL in group B, with no significant between-group difference ( p > 0.05). The postoperative ABG in group A was 13.27 ± 9.91 dBHL versus 11.79 ± 10.82 dBHL in group B, and there was no significant difference between the groups ( p > 0.05). The surgical time in group B (64 ± 31.23 minutes) was significantly longer than that in group A (48 ± 25.62 minutes) ( p = 0.02). There were no significant between-group differences in basic patient-related data, preoperative air conduction (AC), preoperative bone conduction (BC), postoperative AC, distribution of postoperative ABG, preoperative ABG at different frequencies, and postoperative ABG at different frequencies. There was also no significant between-group difference in the average bleeding volume or number of patients with postoperative dizziness.
Conclusion and Significance: The postoperative improvement in hearing level in the two group was equivalent, but group A had the advantage of a shorter operation time.
Level of Evidence: 4.
Competing Interests: Conflict of interest: The authors have no other funding, financial relationships, or conflicts of interest to disclose.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of Otology & Neurotology, Inc.)
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تواريخ الأحداث: Date Created: 20240326 Date Completed: 20240510 Latest Revision: 20240610
رمز التحديث: 20240611
DOI: 10.1097/MAO.0000000000004177
PMID: 38530360
قاعدة البيانات: MEDLINE
الوصف
تدمد:1537-4505
DOI:10.1097/MAO.0000000000004177