The following images and figures are from article on the controversies of laser stapedotomy by Drs. Jack M. Kartush and T. Mansford McGee of the Michigan Ear Institute. Screen views of the actual publication (1.9 MB) also are available.

Fig. 1. Laserscope KTP uses a visible wavelength laser, which can be used with either a micromanipulator or a fiber-optic handpiece.

Fig. 2. IL Med CO2 laser obviates the need for an articulated arm of reflecting mirrors by mounting the CO2 tube onto the operating microscope.

Fig. 3. Lesinski model for measuring perilymph heating by lasers. Thermocouple in vestibule. ( From Lesinski S. Lasers for otosclerosis. Laryngoscope 1989-99 ( Suppl 46): 1-24. Reprinted with permission. )

Fig. 4. Laser vaporization of A. stapedial tendon; B. posterior crus; C. stapes footplate; and D. scar overlying the oval window during revision stapedectomy.

Fig. 5. Crimping the platinum ribbon of the McGee piston.