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SELECTION OF PATIENTS FOR FENESTRATION SURGERY

SELECTION OF PATIENTS FOR FENESTRATION SURGERY Abstract SELECTION of patients for fenestration surgery is entirely dependent on the ability to recognize certain characteristic features which, in combination, comprise the clinical entity of otosclerosis. As in certain other labyrinthine disturbances, the correlation between the pathologic picture and the clinical manifestations thereof is a matter of presumption based on retrospection in the autopsy rooms, in the histology laboratory and on observations made at the operating table. Otosclerosis is a histologic diagnosis. The principal structures involved are the oval and round windows and the cochlea. The presence of otosclerosis may be determined with certainty only when the temporal bone is made available for microscopic study. Apparently this condition occurs only in man and has never been reproduced identically in animals, although considerable effort to do so has been made.1 For more than half a century otosclerosis has been and still is the subject of intensive research and not a little References 1. Weber, M.: The Bone Picture of Otosclerosis and the Theory of Its Experimental Reproduction , Tr. Am. Otol. Soc. 20:55-99, 1930. 2. Fowler, E. P.: Calcium, Phosphorus and Cholesterol in Otosclerosis , Tr. Am. Otol. Soc. 20:39-47, 1930. 3. Guggenheim, L. K.: Otosclerosis , St. Louis, The Author, 1935, pp. 1-54. 4. Politzer, A.: Text-Book of the Diseases of the Ear and Adjacent Organs, for Students and Practitioners , translated and edited by J. P. Cassells, Philadelphia, H. C. Lea's Son, 1883, pp. 324-353. 5. Wittmaack, K.: The Pathogenesis of Otosclerosis , Arch. Otolaryng. 14:186-194 ( (Aug.) ) 1931.Crossref 6. Lempert, J., and Wolff, D.: Otosclerosis: Theory of Its Origin and Development , Arch. Otolaryng. 50:115-155 ( (Aug.) ) 1949.Crossref 7. Glorig, A.: Hearing Evaluation by Low Conversational Voice Tests . Ann. Otol., Rhin. & Laryng. 58:394-402 ( (June) ) 1949. 8. Davenport, C. B.: Hearing in Children When Both Parents Have Otosclerosis , Tr. Am. Otol. Soc. 20:48-54, 1930. 9. Gray, A. A.: The Otosclerosis Problem, Including Reports of Two Cases Examined Pathologically , J. Laryng. & Otol. 49:629-663 ( (Oct.) ) 1934. 10. Holmgren, G.: Surgical Therapy in Otosclerosis , in Loose-Leaf Surgery of the Ear , New York, Thos. Nelson & Sons, 1947, pp. 399-430. 11. Wojniak, F.: The External Ear and Drum Membrane in Otosclerosis , Ann. Otol., Rhin. & Laryng. 55:406-419 ( (June) ) 1946. 12. Kos, C. M.: Evaluation of the Diagnosis and Treatment of External Otitis , Iowa State M. J. 39:560-566 ( (Dec.) ) 1949. 13. Lempert, J.: Lempert Fenestra Nov-Ovalis with Mobile Stopple , Arch. Otolaryng. 41:1-41 ( (Jan.) ) 1945. 14. Walsh, T. E., and Silverman, S. R. P.: Diagnosis and Evaluation of Fenestration , Laryngoscope 56:536-555 ( (Sept.) ) 1946. 15. Lierle, D. M., and Reger, S. N.: Correlations Between Bone and Air Conduction Acuity Measurements over Wide Frequency Ranges in Different Types of Hearing Impairment , Laryngoscope 56:187-224 ( (May) ) 1946. 16. Meltzer, P. E.: Revision of the Fenestration Operation , Arch. Otolaryng. 46:528-533 ( (Oct.) ) 1947. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

SELECTION OF PATIENTS FOR FENESTRATION SURGERY

Archives of Otolaryngology , Volume 51 (5) – May 1, 1950

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References (18)

Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1950.00700020732009
Publisher site
See Article on Publisher Site

Abstract

Abstract SELECTION of patients for fenestration surgery is entirely dependent on the ability to recognize certain characteristic features which, in combination, comprise the clinical entity of otosclerosis. As in certain other labyrinthine disturbances, the correlation between the pathologic picture and the clinical manifestations thereof is a matter of presumption based on retrospection in the autopsy rooms, in the histology laboratory and on observations made at the operating table. Otosclerosis is a histologic diagnosis. The principal structures involved are the oval and round windows and the cochlea. The presence of otosclerosis may be determined with certainty only when the temporal bone is made available for microscopic study. Apparently this condition occurs only in man and has never been reproduced identically in animals, although considerable effort to do so has been made.1 For more than half a century otosclerosis has been and still is the subject of intensive research and not a little References 1. Weber, M.: The Bone Picture of Otosclerosis and the Theory of Its Experimental Reproduction , Tr. Am. Otol. Soc. 20:55-99, 1930. 2. Fowler, E. P.: Calcium, Phosphorus and Cholesterol in Otosclerosis , Tr. Am. Otol. Soc. 20:39-47, 1930. 3. Guggenheim, L. K.: Otosclerosis , St. Louis, The Author, 1935, pp. 1-54. 4. Politzer, A.: Text-Book of the Diseases of the Ear and Adjacent Organs, for Students and Practitioners , translated and edited by J. P. Cassells, Philadelphia, H. C. Lea's Son, 1883, pp. 324-353. 5. Wittmaack, K.: The Pathogenesis of Otosclerosis , Arch. Otolaryng. 14:186-194 ( (Aug.) ) 1931.Crossref 6. Lempert, J., and Wolff, D.: Otosclerosis: Theory of Its Origin and Development , Arch. Otolaryng. 50:115-155 ( (Aug.) ) 1949.Crossref 7. Glorig, A.: Hearing Evaluation by Low Conversational Voice Tests . Ann. Otol., Rhin. & Laryng. 58:394-402 ( (June) ) 1949. 8. Davenport, C. B.: Hearing in Children When Both Parents Have Otosclerosis , Tr. Am. Otol. Soc. 20:48-54, 1930. 9. Gray, A. A.: The Otosclerosis Problem, Including Reports of Two Cases Examined Pathologically , J. Laryng. & Otol. 49:629-663 ( (Oct.) ) 1934. 10. Holmgren, G.: Surgical Therapy in Otosclerosis , in Loose-Leaf Surgery of the Ear , New York, Thos. Nelson & Sons, 1947, pp. 399-430. 11. Wojniak, F.: The External Ear and Drum Membrane in Otosclerosis , Ann. Otol., Rhin. & Laryng. 55:406-419 ( (June) ) 1946. 12. Kos, C. M.: Evaluation of the Diagnosis and Treatment of External Otitis , Iowa State M. J. 39:560-566 ( (Dec.) ) 1949. 13. Lempert, J.: Lempert Fenestra Nov-Ovalis with Mobile Stopple , Arch. Otolaryng. 41:1-41 ( (Jan.) ) 1945. 14. Walsh, T. E., and Silverman, S. R. P.: Diagnosis and Evaluation of Fenestration , Laryngoscope 56:536-555 ( (Sept.) ) 1946. 15. Lierle, D. M., and Reger, S. N.: Correlations Between Bone and Air Conduction Acuity Measurements over Wide Frequency Ranges in Different Types of Hearing Impairment , Laryngoscope 56:187-224 ( (May) ) 1946. 16. Meltzer, P. E.: Revision of the Fenestration Operation , Arch. Otolaryng. 46:528-533 ( (Oct.) ) 1947.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1950

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