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Curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery: description of use and review of the relevant literature

  • C J McCaffer (a1), L Pabla (a1) and C Watson (a2)



The use of lasers in cholesteatoma surgery is common and well accepted. The most commonly used laser fibres are straight and non-adjustable; these have several limitations. This paper describes the use of an alternative laser fibre.


This ‘How I Do It’ paper describes and illustrates the use of an alternative curved adjustable fibre-optic diode laser in microscopic cholesteatoma surgery.


The curved, adjustable laser fibre allows accurate and atraumatic disease removal when the use of a straight laser fibre may be less effective or accurate. It reduces potential damage to delicate structures without the need for extra drilling or bone removal.


It is suggested that the curved adjustable laser fibre is superior to the traditional straight fibre for cholesteatoma surgery.


Corresponding author

Address for correspondence: Mr Craig J McCaffer, C/O ENT Secretaries, Department of Otolaryngology Head and Neck Surgery, James Cook University Hospital, Middlesbrough, UK E-mail:


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1Hamilton, JW. Systematic preservation of the ossicular chain in cholesteatoma surgery using a fiber-guided laser. Otol Neurotol 2010;31:1104–8.
2Caffier, PP, Marzahn, U, Franke, A, Sudhoff, H, Jovanovic, S, Haisch, A et al. Laser-assisted cholesteatoma surgery: technical aspects, in vitro implementation and challenge of selective cell destruction. Eur Arch Otorhinolaryngol 2008;265:1179–88.
3Eskander, A, Holler, T, Papsin, BC. Delayed facial nerve paresis after using the KTP laser in the treatment of cholesteatoma despite inter-operative facial nerve monitoring. Int J Pediatr Otorhinolaryngol 2010;74:823–4.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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