Surgitron Papilloma Remover. A papillómák biztonságos eltávolítása a Surgitron eszközzel
Auris Nasus Larynx ; 47 1 :Feb. Article En MEDLINE ID: mdl OBJECTIVE: To delineate the advantages and steps of stapedotomy with incus vibroplasty, to assess the safety and efficacy of this method via the authors' experiences, and to overview the literature regarding other surgical options in advanced otosclerosis determining the place of stapedotomy with incus vibroplasty in the therapeutic range.
Based on complementary audiological examinations including stapedial reflex test and multifrequency tympanometry, all cases were suspected as advanced otosclerosis. Stapedotomy with incus vibroplasty - the combination of laser stapedotomy and simultaneous Vibrant Soundbridge implantation - was performed in each patient.
Preoperative pure tone average, speech recognition thresholds and word recognition scores were compared to one-year postoperative free-field values with the implant switched on focusing on functional gain.
In three cases Nitinol, in one case NitiBond piston was inserted.
One-year postoperative free-field functional gains were 30 dB, 34 dB, 42 dB and 51 dB, respectively. Stapedotomy Surgitron Papilloma Remover incus vibroplasty - through sufficient air-bone gap closure and simultaneous sensorineural component management - seems to be a promising surgical solution in advanced otosclerosis, requiring further investigation.