JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (4): 75-79.doi: 10.6040/j.issn.1673-3770.0.2015.552

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Bone ablation in middle ear with pulsed CO2 laser and Er:YAG laser: an experimental study.

WANG Xiaoyan1, ZHENG Yanqing2, ZHENG Hao1, YE Qing   

  1. 1. Department of Otolaryngology, Provincial Hospital of Fujian Medical University, Fuzhou 350001, Fujian, China;2. Quanzhou Women and Childrens Hospital, Quanzhou 362000, Fujian, China
  • Received:2015-12-29 Online:2016-08-16 Published:2016-08-16

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Abstract: Objective To study the feasibility of bone ablation in middle ear with pulsed CO2 laser and Er:YAG laser in rabbit models, in order to provide a new and safe tool for fenestration operation in middle ear. Methods A total of 24 New Zealand rabbits were randomly divided into 3 groups: drill group, CO2 laser group, and Er:YAG laser group. The three tools were used to perform fenestration operation of middle ear. The feasibility of bone ablation, experimental phenomena, total operation time and light irradiation time, and opening efficiency were compared. The morphologic changes of adjacent tissues were observed with tissue slicing and HE staining after irradiation. Results All of the three approaches were suitable for fenestration operation of middle ear bone, with different operation time, but there was no statistical difference(P>0.05). The three groups had similar morphologic characteristics after fenestration. Conclusion Both pulsed CO2 laser and Er:YAG laser can ablate bone rapidly in the fenestration operation, which can serve as a new tool in otological surgeries besides electric drill.

Key words: Middle ear, Er:YAG laser, Bone ablation, Electric drill, CO2 laser

CLC Number: 

  • R764.9
[1] Michaelides E M, Kartush J M. Implications of sound levels generated by otologic devices[J]. Otolaryngol Head Neck Surg, 2001, 125(4): 361-363.
[2] Szyfter W, Mielcarek-Kuchta D, Modkowska A, et al. Stapedotomie with the use of CO2 laser-“one shot” technique[J]. Otolaryngol Pol, 2013, 67(2): 87-94.
[3] Albers A E, Schönfeld U, Kandilakis K, et al. CO2 laser revision stapedotomy[J]. Laryngoscope, 2013, 123(6): 1519-1526.
[4] 李永新, 张国平, 王顺成, 等. 耳道内径路CO2激光镫骨手术治疗耳硬化症[J]. 中国医学文摘: 耳鼻咽喉科学, 2011, 26(6):324-325. LI Yongxin, ZHANG Guoping, WANG Shuncheng, et al. CO2 laser stape surgery through the ear canal on the treatment of otosclerosis[J]. Chin Med Digest: Otolaryngol, 2011, 26(6):324-325.
[5] Elmadag M, Uzer G, Yildiz F, et al. Comparison of four different techniques for performing an osteotomy: a biomechanical, radiological and histological study on rabbits tibias[J]. Bone Joint J, 2015, 97-B(12):1628-1633.
[6] Panduric D G, Juric I B, Music S, et al. Morphological and ultrastructural comparative analysis of bone tissue after Er:YAG laser and surgical drill osteotomy[J]. Photomed Laser Surg, 2014, 32(7):401-408.
[7] Stefan Stübinger. Advances in bone surgery: the Er:YAG laser in oral surgery and implant dentistry[J]. Clin Cosmet Investig Dent, 2010, 2:47-62.
[8] 王晓燕, 叶青, 沈帆, 等. 兔中耳进路及中耳解剖结构的研究[J]. 山东大学耳鼻喉眼学报, 2011, 25(6):37-40. WANG Xiaoyan, YE Qing, SHEN Fan, et al. Rabbits middle ear approach and its anatomic structure[J]. J Otolaryngol Ophthalmol Shandong Univ, 2011, 25(6):37-40.
[9] Zhang X, Zhan Z, Liu H, et al. Influence of water layer thickness on hard tissue ablation with pulsed CO2 laser[J]. J Biomed Opt, 2012, 17(3):038003.
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