Stapedotomy with and without piezosurgery: 4 years' experience.
OBJECTIVE
The aim of this study was to present our experiences and results of stapedotomy performed with and without the piezoelectric device.


METHODS
The article evaluates and compares the use of the piezoelectric device in performing primary stapedotomy in patients affected by otosclerosis with the traditional method of microdrilling.


METHODS
The study was conducted with 100 patients in the Department of Otolaryngology of the University of Genoa (Italy), between January 2007 and January 2008.


METHODS
A prospective, randomized, controlled trial was undertaken on 100 stapedotomy patients performed using the piezoelectric device (50 patients) or the microdrill (50 patients).


METHODS
Before surgery and at 1 and 12 months afterward, all patients underwent the following: otomicroscopic evaluation of the external and middle ear, pure-tone audiometry, tympanometry, transient evoked otoacoustic emissions, distortion product otoacoustic emissions, and auditory brainstem response.


RESULTS
All patients treated with the piezoelectric device had an air-bone gap reduction, with a closure of the air-bone gap within 10 dB; 44 (88%) patients who underwent traditional surgery had an air-bone gap reduction, with a closure of the air-bone gap within 10 dB.


CONCLUSIONS
All of our postoperative data confirm the safety of the device on the anatomic structures of the middle and inner ear and demonstrate the efficacy of the piezoelectric device in terms of safety, cutting precision, and protection of anatomic structures and its applicability to stapedotomy.
Crippa
Barbara
B
Department of Otolaryngology, University of Genoa, Genoa, Italy.
Dellepiane
Massimo
M
Mora
Renzo
R
Salami
Angelo
A
D000158:Acoustic Impedance Tests; D000328:Adult; D001301:Audiometry, Pure-Tone; D004598:Electrosurgery / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017084:Otoacoustic Emissions, Spontaneous; D010040:Otosclerosis / Q000601:surgery*; D011446:Prospective Studies; D013201:Stapes Surgery / Q000379:methods*; D016896:Treatment Outcome