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The influence of Er. YAG laser application in fenestration to the inner ear
Authors:Oku Ryota  Tanaka Fujinobu  Tsukasaki Naoki  Kumagami Hidetaka  Takahashi Haruo
Affiliation:

aDepartment of Otolaryngology, University of Nagasaki School of Medicine, Nagasaki, Japan

Abstract:OBJECTIVE: Erbium (Er.) YAG laser may be usable for middle ear surgery because of its ability to ablate bony tissue. We investigated the inner ear damage caused by the fenestration to the inner ear with Er. YAG laser. DESIGN: We investigated the influence of Er. YAG laser on the inner ear using electrophysiological technique. RESULTS: Several cases had a decrease in endocochlear potential (EP) and cochlear microphonics (CM) after the fenestration to the inner ear. CONCLUSIONS: Er. YAG laser is safe if it is used for the small and superficial fenestration to the stapes footplate. However, a few extra pulses after fenestration are dangerous.
Keywords:Er. YAG laser   Fenestration to the inner ear   Inner ear damage
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