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Laser Stapedotomy Minus Prosthesis (Laser STAMP) and Other Minimally Invasive Otologic Procedures

Seth I. Rosenberg

Over the past decade the emphasis on surgery has been to find ways of performing minimally invasive techniques using lasers and endoscopes. Many otologic procedures already fit the category of minimally invasive, or are already being done in the surgeon's office operating room, thus avoiding hospitalization and all the associated costs that accompany it.

The advantages of minimally invasive procedures are many and include the fact that procedures can be performed safely in an office operating room or surgery center. Patients especially like procedures that are done in the office, because both patient and surgeon time is minimized, the large expense of inhospital surgery is saved, all procedures are performed using topical or infiltrative local anesthesia, and the results are as good as those of more extensive procedures.

Starting with laser stapedotomy minus prosthesis (laser STAMP), a variety of minimally invasive procedures including laser-assisted tympanostomy (LAT), endoscopic middle ear exploration, inner ear perfusion, and fat myringoplasty are described here, and the necessary equipment and anesthesia are presented. Minimally invasive surgical procedures can be an enormous addition to the otologist's armamentarium.

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