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Wegner I, Kamalski DM, Tange RA, et al. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. Laryngoscope. 2014;124(7):1687-93doi: 10.1002/lary.24514.
Wegner, I., Kamalski, D. M., Tange, R. A., Vincent, R., Stegeman, I., van der Heijden, G. J., & Grolman, W. (2014). Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. The Laryngoscope, 124(7), 1687-93. https://doi.org/10.1002/lary.24514
Wegner, Inge, et al. "Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review." The Laryngoscope vol. 124,7 (2014): 1687-93. doi: https://doi.org/10.1002/lary.24514
Wegner I, Kamalski DM, Tange RA, Vincent R, Stegeman I, van der Heijden GJ, Grolman W. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review. Laryngoscope. 2014 Jul;124(7):1687-93. doi: 10.1002/lary.24514. Epub 2014 May 02. PMID: 24214900.
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Laryngoscope. 2014 Jul;124(7):1687-93. doi: 10.1002/lary.24514. Epub 2014 May 02.

Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review.

The Laryngoscope

Inge Wegner, Digna M A Kamalski, Rinze A Tange, Robert Vincent, Inge Stegeman, Geert J M van der Heijden, Wilko Grolman

Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Utrecht, Utrecht, the Netherlands; Jean Causse Ear Clinic, Traverse de Béziers, Colombiers, France.

PMID: 24214900 DOI: 10.1002/lary.24514

Abstract

OBJECTIVES/HYPOTHESIS: To assess hearing results and complications following primary stapedotomy in otosclerosis patients comparing the use of laser and conventional techniques for fenestration.

STUDY DESIGN: Systematic literature review.

METHODS: A systematic bibliographic search was conducted in PubMed, Embase, the Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, and Scopus. Studies reporting original data on the effect of laser fenestration, compared to conventional techniques, on closure of air-bone gap in patients undergoing primary stapedotomy were included. Directness of evidence and risk of bias of the selected articles were assessed. Studies with low directness of evidence, high risk of bias, or both were not further analyzed. The absolute risks, risk differences, and 95% confidence intervals were extracted only for studies with moderate to high directness of evidence and moderate to low risk of bias.

RESULTS: In total, 383 unique studies were retrieved. Eight of these (including 999 procedures) provided high or moderate directness of evidence and carried a moderate risk of bias, and were considered eligible for data extraction. The included studies show no consistent difference in postoperative air-bone gap closure or immediate postoperative vertigo.

CONCLUSIONS: Both footplate fractures and sensorineural hearing loss appear to occur more frequently in the conventional group than in the laser group. Therefore, we prefer laser above conventional methods for footplate fenestration in primary stapedotomy.

LEVEL OF EVIDENCE: NA.

© 2013 The American Laryngological, Rhinological and Otological Society, Inc.

Keywords: Laser; microdrill; micropick; otosclerosis; stapedotomy; stapes

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