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CLOSURE OF OPERATIVE FENESTRAE IN THE LABYRINTH

CLOSURE OF OPERATIVE FENESTRAE IN THE LABYRINTH Abstract Fistulization of the horizontal semicircular canal and production of a fenestra in the labyrinth by covering the artificial opening with some sort of a mobile membrane is an operation which is being performed more and more every day. I am not concerned here with the fact that fistulization produces immediate improvement of hearing in cases of ankylosis of the stapes, nor shall I go into the theories of how this takes place. It suffices to say that immediate improvement occurs when the perilymph is decompressed, and if a sufficiently mobile membrane can be placed over the opening in the labyrinthine capsule the hearing usually remains more or less improved unless something happens to interfere. The greatest difficulty has been that in 2 of every 3 cases the fistula has closed within two months, and in an additional proportion of cases it has closed in six months to a year.1 If References 1. Fowler, E. P., Jr.: Critique of Surgical Treatments for Deafness , Canad. M. A. J. 43:546 ( (Dec.) ) 1940. 2. Canfield, N.: Labyrinthine Fistulas , Arch. Otolaryng. 30:62 ( (July) ) 1939.Crossref 3. Guggenheim, L. K., and Guggenheim, P.: Artificial Fistula in Cases of Otosclerosis , Arch. Otolaryng. 32:1 ( (July) ) 1940.Crossref 4. Holmgren, G.: Surgical Therapy for Otosclerosis , in Kopetzky, S. J.: Surgery of the Ear , New York, Thomas Nelson & Sons, 1938. 5. Nager, F. R.: Demonstration zur Holmgrenschen Otosklerosoperation an Affen , Acta oto-laryng. 27:350, 1939.Crossref 6. Ulrich, K.: Verletzungen des Gehörorgans bei Schädelbasisfrakturen , Helsinki, Mercator, 1938. 7. Sourdille, M., (a) cited by Duel, A. B.; Fowler, E. P., and others: Otosclerosis: Résumé of Literature from 1928-1935 , Ann. Otol., Rhin. & Laryng. 45:3 ( (March) ) 1936 8. A New Technique in the Surgical Treatment of Severe and Progressive Deafness from Otosclerosis , Laryngoscope 47:853 ( (Dec.) ) 1937. 9. Lempert, J.: (a) Improvement of Hearing in Cases of Otosclerosis , Arch. Otolaryng. 28:42 ( (July) ) 1928 10. Endaural Fenestration of External Semicircular Canal for Restoration of Hearing in Cases of Otosclerosis: Summary Report of One Hundred and Twenty Cases , Lempert Arch. Otolaryng. 31:711 ( (May) ) 1940. 11. Kopetzky, S. J.: Labyrinthine Fenestration to Improve Hearing , Laryngoscope 49:1064 ( (Nov.) ) 1939. 12. Nager, F. R., in Fowler, E. P., Jr.: Medicine of the Ear , New York, Thomas Nelson & Sons, 1939. 13. Murray, C. R.: The Repair of Fractures , Minnesota Med. 13:137 ( (March) ) 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

CLOSURE OF OPERATIVE FENESTRAE IN THE LABYRINTH

Archives of Otolaryngology , Volume 34 (2) – Aug 1, 1941

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1941 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1941.00660040233001
Publisher site
See Article on Publisher Site

Abstract

Abstract Fistulization of the horizontal semicircular canal and production of a fenestra in the labyrinth by covering the artificial opening with some sort of a mobile membrane is an operation which is being performed more and more every day. I am not concerned here with the fact that fistulization produces immediate improvement of hearing in cases of ankylosis of the stapes, nor shall I go into the theories of how this takes place. It suffices to say that immediate improvement occurs when the perilymph is decompressed, and if a sufficiently mobile membrane can be placed over the opening in the labyrinthine capsule the hearing usually remains more or less improved unless something happens to interfere. The greatest difficulty has been that in 2 of every 3 cases the fistula has closed within two months, and in an additional proportion of cases it has closed in six months to a year.1 If References 1. Fowler, E. P., Jr.: Critique of Surgical Treatments for Deafness , Canad. M. A. J. 43:546 ( (Dec.) ) 1940. 2. Canfield, N.: Labyrinthine Fistulas , Arch. Otolaryng. 30:62 ( (July) ) 1939.Crossref 3. Guggenheim, L. K., and Guggenheim, P.: Artificial Fistula in Cases of Otosclerosis , Arch. Otolaryng. 32:1 ( (July) ) 1940.Crossref 4. Holmgren, G.: Surgical Therapy for Otosclerosis , in Kopetzky, S. J.: Surgery of the Ear , New York, Thomas Nelson & Sons, 1938. 5. Nager, F. R.: Demonstration zur Holmgrenschen Otosklerosoperation an Affen , Acta oto-laryng. 27:350, 1939.Crossref 6. Ulrich, K.: Verletzungen des Gehörorgans bei Schädelbasisfrakturen , Helsinki, Mercator, 1938. 7. Sourdille, M., (a) cited by Duel, A. B.; Fowler, E. P., and others: Otosclerosis: Résumé of Literature from 1928-1935 , Ann. Otol., Rhin. & Laryng. 45:3 ( (March) ) 1936 8. A New Technique in the Surgical Treatment of Severe and Progressive Deafness from Otosclerosis , Laryngoscope 47:853 ( (Dec.) ) 1937. 9. Lempert, J.: (a) Improvement of Hearing in Cases of Otosclerosis , Arch. Otolaryng. 28:42 ( (July) ) 1928 10. Endaural Fenestration of External Semicircular Canal for Restoration of Hearing in Cases of Otosclerosis: Summary Report of One Hundred and Twenty Cases , Lempert Arch. Otolaryng. 31:711 ( (May) ) 1940. 11. Kopetzky, S. J.: Labyrinthine Fenestration to Improve Hearing , Laryngoscope 49:1064 ( (Nov.) ) 1939. 12. Nager, F. R., in Fowler, E. P., Jr.: Medicine of the Ear , New York, Thomas Nelson & Sons, 1939. 13. Murray, C. R.: The Repair of Fractures , Minnesota Med. 13:137 ( (March) ) 1937.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1941

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