Document Detail


Piezoelectric stapedotomy: the importance of a micropulse program.
MedLine Citation:
PMID:  20735184     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
CONCLUSIONS: We can consider the micropulse program as the best level of safety that should be used in all cases of piezoelectric stapedotomy.
OBJECTIVES: The aim of this study was to describe the importance of a micropulse program in determining the success of piezoelectric stapedotomy.
METHODS: A total of 112 patients (group A) affected by primary otosclerosis underwent piezoelectric stapedotomy for otosclerotic stapes fixation. A specific operative program was created to perforate the stapes footplate: this program makes it possible to perforate the footplate of the stapes with a predetermined and non-modifiable temporization. Before and 1 year after surgery, all the patients underwent the following instrumental examinations: pure-tone audiometry, tympanometry, transient-evoked otoacoustic emissions, distortion product otoacoustic emissions, and auditory brainstem response. Results were compared with those obtained from 30 patients who underwent piezoelectric stapedotomy without the specific operative program (group B).
RESULTS: At 1 year after surgery, with regard to the pure-tone audiometry test, all patients had an air-bone gap (ABG) reduction: no worsening of the bone conduction and no postoperative sensorineural hearing loss were found. In group A, there was a closure of the ABG within 10 dB in all patients.
Authors:
Angelo Salami; Renzo Mora; Barbara Crippa; Massimo Dellepiane; Luca Guastini
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Publication Detail:
Type:  Journal Article     Date:  2010-08-24
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  130     ISSN:  1651-2251     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1364-9     Citation Subset:  IM    
Affiliation:
ENT Department, University of Genoa, Genoa, Italy.
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