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Laser Stapedotomy for Otosclerosis

1. Introduction and Patient Preparation

2. Local Anesthesia

3. Tympanomeatal Flap

4. Middle Ear Exposure

  1. Identification of Middle Ear Anatomy

5. Stapes Detachment

  1. Disarticulation of Incudostapedial Joint
  2. Transect Stapedial Tendon
  3. Remove Stapes Superstructure

6. Stapes Footplate Fenestration

7. Prosthesis Placement

8. Closure

  1. Seal Oval Window