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The effect of piston diameter in primary stapes surgery on surgical success.

Esther E BlijlevenMaaike JellemaRobert J StokroosInge WegnerHenricus G X M Thomeer
Published in: European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery (2024)
The use of a 0.6-mm-diameter piston during stapes surgery seems to provide better audiometric results compared to a 0.4-mm-diameter piston, and should be the preferred piston size in otosclerosis surgery. We found no statistically significant difference in postoperative complications between the 0.4- and 0.6-mm-diameter piston. Based on the results, we recommend always using a 0.6-mm-diameter piston during primary stapes surgery unless anatomical difficulties do not allow it.
Keyphrases
  • minimally invasive
  • coronary artery bypass
  • optic nerve
  • surgical site infection
  • percutaneous coronary intervention
  • optical coherence tomography