title: [The treatment of otosclerosis using laser assisted stapedotomy with mini incision in external auditory meatus].
abstract: OBJECTIVE
  To investigate the feasibility of the treatment of otosclerosis using laser stapedotomy with mini incision in the external auditory meatus.
  
  
  METHODS
  Thirteen patients(15 ears) with otosclerosis evidence on clinic history. They were all operated using the laser assisted stapedotomy by mini incision in external auditory meatus because of the wide straight canal. Laser resection the tendo musculistapedius and anterior and postrior arch, breaking the articulatioincudostapedia, removing the stapes superstructure, making a hole of 6mm diameter in the rear of stapes footplate by laser drilling, implanting the corresponding length Piston artificial ossicle.
  
  
  RESULTS
  All the surgeries were successful and the operation time was about one hour. There was only one patient manifested vertigo and nausea after the operation. But the symptoms improved three days later after the expectant treatment. All the incisions were healed in the externals. There was significant difference between the preoperative and postoperative PTA. The air conduct improved in every frequent and the bone conduct improved in 1 kHz, 2 kHz and 4 kHz.
  
  
  CONCLUSIONS
  Laser assisted stapedotomy by mini incision in the external auditory meatus in patients having wide straight canal with otosclerosis can shorten the operation time, minimize the tissue damage, fasten the healing of the incision and reduce the complications postoperatively. In addition, the mini incision is beauty and easy to nurse.
authors.forename: Xinping
authors.initials: X
authors.lastname: Hao
authors.forename: Shubin
authors.initials: S
authors.lastname: Chen
authors.forename: Zilong
authors.initials: Z
authors.lastname: Yu
authors.forename: Fenghe
authors.initials: F
authors.lastname: Liang
authors.forename: Yongxin
authors.initials: Y
authors.lastname: Li
mesh_terms: D004424:Ear Canal / Q000601:surgery*; D006801:Humans; D007834:Lasers; D010040:Otosclerosis / Q000601:surgery*; D011183:Postoperative Complications; D011184:Postoperative Period; D019736:Prostheses and Implants; D013199:Stapes; D013201:Stapes Surgery; D016896:Treatment Outcome