CO2 Laser for Delicate Otology Surgery

New Levels of Precision in Middle Ear Surgery

The COCarbon Dioxide Laser has been used for more than two decades in otologic surgery. The high specificity for water absorption makes it an ideal tool for precise and controlled incision, excision, vaporization and ablation with simultaneous hemostasis in small vessels. The same properties of water absorption and the non-contact nature of the instrument enhance the performance of the surgeon when used on and around very tiny, confined and sensitive auditory structures.

Lumenis offers a variety of CO2 laser product solutions for otologic surgery, ranging from Free-Beam with the Digital AcuBlade™ scanning micromanipulator to the new fiber based designated Otology solution – the OtoLase or MicroLase. All Lumenis Otologic solutions are featuring the adjustable aiming beam for precise targeting of the tissue.

Clinical Indications

Studies have shown that compared with other types of lasers and treatment modalities, Physicians using CO2 lasers for ear surgery can attain superior outcomes (1,2,3).

The Lumenis CO2 laser solutions are uniquely designed to provide diverse treatment options in the operating room or the outpatient setting, under local or complete anesthesia. Partial list of approved indications for use includes: Stapedotomy, Acoustic Neuroma, Cholesteatoma, Eustachian tube dysfunction, Polyps and granulation tissue in external ear canal, Otitis media, Otitis media, Congenital aural atresia, Cholesteatoma, Otosclerosis, Revision stapedotomy, Cochlear implant revision, Acoustic neuroma.

Lumenis Delicate Otology Solutions


Complete visualization and surgical control

OtoLase is the latest innovation of flexible CO2 laser middle ear surgery.  The microsurgical precision of the OtoLase delivery system makes it the ideal tool for delicate middle ear surgery and adequate treatment for small and sensitive auditory structures. With OtoLase, surgeons can expect new levels of precision, ease-of-use, durability and cost-effectiveness.

OtoLase™ Unique features:

  • Flexibility and Ease of Use: The multi-use straight and bent handpieces are designed with a grasping mechanism for simple maneuvering and optimal ergonomics.
  • Complete Visualization: The handpiece, shaft and tip are designed to facilitate an effective operational field.
  • Precision in Fenestration: As ensured by the use of a small spot size and ultra-thin, highly durable tip.
  • Predictable Tissue Interaction: Delicate layer-by-layer tissue removal with minimal thermal spread.
  • Maximal Versatility: With interchangeable handpieces and single use straight and bent tips.

“The OtoLase has been ergonomically engineered to meet the surgical needs. The air flow system eliminates the laser plume and facilitates visualization, and the aiming beam ensures target accuracy. The low profile and thin design allows the surgeon to reach the smallest recesses within the middle ear. This enhanced fiberoptic CO2 laser technology has been worth the wait.”

John T. McElveen, Jr., M.D, Carolina Ear & Hearing Clinic, Raleigh, N.C., USA


Extending Precision to Your Fingertips

Collaborating closely with leading physicians, Lumenis developed the MicroLase™ Otology Set -a comprehensive Otology solution. The solution includes two unique, single-use handpieces, for easy access to all parts of the ear, and an advanced reusable MicroLase fiber. The MicroLase™ Otology solution is designed to expand the use of the AcuPulse™ DUO and AcuPulse™ 40WG CO2 laser systems for ear surgery, enabling the surgeon to attain the desired tissue effect and perform highly complex Otology surgeries to perfection.

MicroLase Unique features:

  • 25 Procedures: That can be performed with the same 2m long fiber. A price sensitive solution that meets your required treatment costs
  • Small Shaft: Assures visibility and complex movements throughout the challenging auditory structures
  • Controlled Tissue Management: Adjustable laser parameters to control power settings, exposure duration and distance from tissue
  • Easy set up: The single-use handpieces are provided sterile for smooth operation in the operating room
  1. Marchese, M.R., et al., “One-shot” CO2 versus Er:YAG laser stapedotomy: is the outcome the same? Eur Arch Otorhinolaryngol, 2011. 268(3): p. 351-6.
  2. Lesinski SG, Lasers for otosclerosis–which one if any and why, Lasers Surg Med. 1990;10(5):448-57.
  3. Motta, G. and L. Moscillo, Functional results in stapedotomy with and without CO2 laser. ORL J Otorhinolaryngol Relat Spec, 2002. 64(5): p. 307-10.


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