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Laser-Based Stapes Surgery

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Biomedical Optics in Otorhinolaryngology

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Abstract

Otosclerosis is a common disease which entails fixation of the stapes footplate at the border between middle ear and vestibule of the inner ear. It can be treated with perforation, partial or total removal of the stapes footplate and its suprastructure including replacement by prosthesis. As structures are very delicate and prone to damage by direct manipulation, the use of lasers has been proven advantageous in comparison to mechanical tools. Yet there has been extensive debate about unwanted effects on the inner ear by pressure transients, temperature rise, and temporary impairment of inner ear function. However, with growing experience in this field, various lasers have been shown not only to be effective but also safe in preserving labyrinthine and cochlear function while restoring sound transmission. This chapter deals with the history of laser use, laser systems, and instrumentation, while providing a perspective for future developments in microscale bone ablation.

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Acknowledgements

Histological examination and electron microscopy were performed by the Institute of Pathology, RWTH Aachen University, Director: Univ.-Prof. Dr. med. R. Knüchel-Clarke

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Plastic Head and Neck Surgery, RWTH Aachen University Hospital, Aachen, Germany

    Justus Ilgner MD

  2. Department of Medical Technology and Biophotonics, Fraunhofer Institute for Laser Technology, Aachen, Germany

    Martin Wehner Dr Ing

  3. Institute of Pathology, Universitätsklinikum Aachen, Aachen, Germany

    Manfred Bovi Dipl Ing

  4. Department of Otorhinolaryngology, Plastic Surgery of Head and Neck, Universitätsklinikum Aachen, Aachen, Germany

    Martin Westhofen MD

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  1. Justus Ilgner MD
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  2. Martin Wehner Dr Ing
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  3. Manfred Bovi Dipl Ing
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  4. Martin Westhofen MD
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Corresponding author

Correspondence to Justus Ilgner MD .

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Editors and Affiliations

  1. Department of Otolaryngology Head and Neck Surgery, Department of Biomedical Engineering, Division of Facial Plastic Surgery, The Beckman Laser Institute and Medical Clinic, University of California Irvine, Irvine, California, USA

    Brian J.-F. Wong

  2. Department of Otorhinolaryngology, Plastic, Head and Neck Surgery, RWTH Aachen University Hospital, Aachen, Germany

    Justus Ilgner

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Ilgner, J., Wehner, M., Bovi, M., Westhofen, M. (2016). Laser-Based Stapes Surgery. In: Wong, BF., Ilgner, J. (eds) Biomedical Optics in Otorhinolaryngology. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1758-7_7

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  • DOI: https://doi.org/10.1007/978-1-4939-1758-7_7

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