21 KB300 KB19 KB200820252011Nahtigal, MajaRebol, Janezštevilka:2letnik:4str. 18-23ISSN:1855-5640COBISSID:4161087URN:URN:NBN:SI:doc-G5UJ70YPenMedicinska fakultetaActa medico-biotechnicaArgonhearingKirurgijaLaserjiLasersOtologic Surgical ProceduresOtološki kirurški postopkiOtosclerosisOtosklerozasluhstapedotomijasurgerytherapyZdravljenjeArgon laser stapedotomy| Stapedotomija z argonskim laserjem|Purpose: Presentation of our results of otosclerosis procedures undertaken with the argon laser. Methods: Argon laser stapedotomy was carried out in 47 patients in the last 18 months at our center. The procedure was conducted under general anesthesia using a transcanal approach. Pure-tone audiogram was done pre- and postoperatively. After each procedure, overclosure, closure of the air-bone gap and the average postoperative air-bone gap were calculated. Results: Average overclosure in all patients was 4.4 dB; average closure of the air-bone gap was 22.3 dB and average air-bone gap was 9.6 dB. Conclusion: Argon laser stapedotomy is a safe procedure that enables surgery without touching middle ear structures. Postoperative hearing results were satisfactory and stable; patients also had few problems with nausea and vertigoNamen: Namen raziskave je bil predstaviti rezultate operacij otoskleroze z argonskim laserjem. Metode: V zadnjem letu in pol je bila stapedotomija z argonskim laserjem izvedena pri 47 bolnikih. Pri vseh je bil poseg izveden v splošni anesteziji s transkanalnim pristopom, preoperativno in pooperativno je bil narejen tudi audiogram. Po operaciji smo izračunali spremembo kostnega prevajanja, kostno-zračne razlike in povprečno pooperativno kostno-zračno razliko. Rezultati: Povprečno pooperativno izboljšanje kostnega prevajanja je znašalo 4,4 dB, povprečno izboljšanje kostno-zračne razlike 22,3 dB, povprečna pooperativna kostno-zračna razlika pa je znašala 9,6 dB. Zaključek: Stapedotomija z argonskim laserjem je varna operacija, ki omogoča t.i. operiranje brez dotika struktur. Pooperativni rezultati sluha so zadovoljivi in stabilni, bolniki pa imajo pooperativno malo stranskih pojavov v smislu nestabilnosti in slabostiTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverza v Mariboru, Medicinska fakulteta