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The Spring Prosthesis in Stapedectomy

The Spring Prosthesis in Stapedectomy Abstract IN JANUARY 1965, we evolved a new prosthesis for use in stapes surgery.1 This took the shape of a spring, made of stainless steel wire and prepared on a Schuknecht die. We advocated its adoption in preference to other well-known prostheses, because, in theory, it could protect the labyrinth and fulfill at least one of the functions of the stapedius muscle, which is usually severed in stapedectomy operations (Fig 1). The excellent results obtained by stapedectomy in otosclerotic deafness tended at first to overshadow some of the side-effects. But with the passing of time, more attention has been given to perfection of technique and to better hearing results, especially in the drop for high tones which frequently occurs after stapedectomy.2,3 The importance of the stapedius muscle was known to clinicians in the last century. Muller in 1838 described the protective role played by the middle ear muscles whenever References 1. Sultana, W.A.: A Spring Prosthesis for Stapes Surgery , J Laryng 79:834-836, 1965.Crossref 2. Schuknecht, H.F.: Stapedectomy , Acta Otolaryng 54:336, 1962.Crossref 3. Schuknecht, H.F., and Tonndorf, J.: Results With the Chisels in Stapes Mobilization , Laryngoscope 70:479, 1960. 4. Crowe, S.J., et al: Investigations into the Causes of Deafness , Bull Hopkins Hosp 54:315, 1934. 5. wever, E.G., and Bray, C.W.: The Physiology of Hearing: The Nature of the Response in the Cochlea , Proc Nat Acad Sci 16:344, 1930.Crossref 6. Wever, E.G., and Bray, C.W.: The Physiology of Hearing , J Exp Psychol 13:373, 1930.Crossref 7. Wever, E.G., and Lawrence, M.: Physiological Acoustics , Princeton, NJ: Princeton University Press, 1954. 8. Best, C.H., and Taylor, N.B.: The Physiological Basis of Medical Practice , ed 3, London: Baillere, Tindall and Cox, 1943, pp 1720-1726. 9. Rosen, S.: Methods of Stapes Surgery for Otosclerosis , Arch Otolaryng 71:64 ( (Jan) ) 1960.Crossref 10. Rosen, S.: Assessment of the Techniques of Stapes Surgery , JAMA 178:1144 ( (Dec) ) 1961.Crossref 11. Rosen, S.: Mobilization of the Perilymph , Arch Otolaryng 84:370 ( (Oct) ) 1966.Crossref 12. Allen, G.W.; Dallos, P.J.; and Kuruvilla, T.K.: Experimental Stapedectomy in Cats: Acoustic Effects of D Different Stapes Replacement Techniques as Measured by Cochlear Microphonics , Ann Otol 73:695-707, 1964. 13. Shea, J.J.: A Reappraisal of Stapedectomy, read before the Australian Otolaryngological Society, Nov 23, 1965. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

The Spring Prosthesis in Stapedectomy

Sultana, W. A.
Archives of Otolaryngology , Volume 86 (5) – Nov 1, 1967
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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1967.00760050484004
Publisher site
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Abstract

Abstract IN JANUARY 1965, we evolved a new prosthesis for use in stapes surgery.1 This took the shape of a spring, made of stainless steel wire and prepared on a Schuknecht die. We advocated its adoption in preference to other well-known prostheses, because, in theory, it could protect the labyrinth and fulfill at least one of the functions of the stapedius muscle, which is usually severed in stapedectomy operations (Fig 1). The excellent results obtained by stapedectomy in otosclerotic deafness tended at first to overshadow some of the side-effects. But with the passing of time, more attention has been given to perfection of technique and to better hearing results, especially in the drop for high tones which frequently occurs after stapedectomy.2,3 The importance of the stapedius muscle was known to clinicians in the last century. Muller in 1838 described the protective role played by the middle ear muscles whenever References 1. Sultana, W.A.: A Spring Prosthesis for Stapes Surgery , J Laryng 79:834-836, 1965.Crossref 2. Schuknecht, H.F.: Stapedectomy , Acta Otolaryng 54:336, 1962.Crossref 3. Schuknecht, H.F., and Tonndorf, J.: Results With the Chisels in Stapes Mobilization , Laryngoscope 70:479, 1960. 4. Crowe, S.J., et al: Investigations into the Causes of Deafness , Bull Hopkins Hosp 54:315, 1934. 5. wever, E.G., and Bray, C.W.: The Physiology of Hearing: The Nature of the Response in the Cochlea , Proc Nat Acad Sci 16:344, 1930.Crossref 6. Wever, E.G., and Bray, C.W.: The Physiology of Hearing , J Exp Psychol 13:373, 1930.Crossref 7. Wever, E.G., and Lawrence, M.: Physiological Acoustics , Princeton, NJ: Princeton University Press, 1954. 8. Best, C.H., and Taylor, N.B.: The Physiological Basis of Medical Practice , ed 3, London: Baillere, Tindall and Cox, 1943, pp 1720-1726. 9. Rosen, S.: Methods of Stapes Surgery for Otosclerosis , Arch Otolaryng 71:64 ( (Jan) ) 1960.Crossref 10. Rosen, S.: Assessment of the Techniques of Stapes Surgery , JAMA 178:1144 ( (Dec) ) 1961.Crossref 11. Rosen, S.: Mobilization of the Perilymph , Arch Otolaryng 84:370 ( (Oct) ) 1966.Crossref 12. Allen, G.W.; Dallos, P.J.; and Kuruvilla, T.K.: Experimental Stapedectomy in Cats: Acoustic Effects of D Different Stapes Replacement Techniques as Measured by Cochlear Microphonics , Ann Otol 73:695-707, 1964. 13. Shea, J.J.: A Reappraisal of Stapedectomy, read before the Australian Otolaryngological Society, Nov 23, 1965.

Journal

Archives of Otolaryngology – American Medical Association

Published: Nov 1, 1967

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