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Chronic Progressive Deafness

Chronic Progressive Deafness Otosclerosis Lindsay et al.139 present the histopathology in 5 patients successfully operated on for bilateral otosclerosis. Fenestration was performed on one ear in 4 patients, and stapes mobilization on both ears in 1. Four examples of a fenestra bore out certain principles which have been indicated by animal experiments and clinical experience in man. The fenestra should be placed on a convex surface to promote closer adherence of the flap. Stripping of endosteum from the bone at the margins of the fenestra should be avoided. It is advantageous to have a sharp edge to the fenestra to obtain close approximation between the endosteal margin and undersurface of the flap. One patient illustrated that in the presence of a well-prepared fenestra, a tear and gap in the membranous canal may be compatible with a good result. Three of these 4 fenestrations demonstrated the permanence of the well-prepared fenestra and the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngolog American Medical Association

Chronic Progressive Deafness

PROCTOR, BRUCE
Archives of Otolaryngolog , Volume 74 (4) – Oct 1, 1961
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Publisher
American Medical Association
Copyright
Copyright © 1961 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0003-9977
eISSN
1538-361X
DOI
10.1001/archotol.1961.00740030455017
Publisher site
See Article on Publisher Site

Abstract

Otosclerosis Lindsay et al.139 present the histopathology in 5 patients successfully operated on for bilateral otosclerosis. Fenestration was performed on one ear in 4 patients, and stapes mobilization on both ears in 1. Four examples of a fenestra bore out certain principles which have been indicated by animal experiments and clinical experience in man. The fenestra should be placed on a convex surface to promote closer adherence of the flap. Stripping of endosteum from the bone at the margins of the fenestra should be avoided. It is advantageous to have a sharp edge to the fenestra to obtain close approximation between the endosteal margin and undersurface of the flap. One patient illustrated that in the presence of a well-prepared fenestra, a tear and gap in the membranous canal may be compatible with a good result. Three of these 4 fenestrations demonstrated the permanence of the well-prepared fenestra and the

Journal

Archives of Otolaryngolog – American Medical Association

Published: Oct 1, 1961

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