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Partial Stapedectomy

Partial Stapedectomy Experiences related here were obtained while utilizing the partial stapedectomy technique for stapedial ankylosis in over 2,000 cases. This procedure allows for removal of the pathologic portion of the footplate and normal reconstruction of mucous membrane and endosteum at the oval window. It utilizes the posterior crus as a functioning ossicle. Except in unusual circumstances, prosthetic devices and tissue grafts were found to be unnecessary. This technique has given excellent long-term results in a large number of patients. In over 90% of the cases reported the air-bone gap has closed to within 10 decibels, and in 65% of the cases, the air-bone gap was overclosed. Although some patients have been followed as long as seven years, there has been threshold regression of 10 decibels or more from the point of highest postoperative gain in only 1.5% of cases. Results reported recommend this technique as a step toward a more physiologic solution to the problem of stapedial ankylosis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Partial Stapedectomy

JAMA , Volume 187 (10) – Mar 7, 1964

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Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1964.03060230025007
Publisher site
See Article on Publisher Site

Abstract

Experiences related here were obtained while utilizing the partial stapedectomy technique for stapedial ankylosis in over 2,000 cases. This procedure allows for removal of the pathologic portion of the footplate and normal reconstruction of mucous membrane and endosteum at the oval window. It utilizes the posterior crus as a functioning ossicle. Except in unusual circumstances, prosthetic devices and tissue grafts were found to be unnecessary. This technique has given excellent long-term results in a large number of patients. In over 90% of the cases reported the air-bone gap has closed to within 10 decibels, and in 65% of the cases, the air-bone gap was overclosed. Although some patients have been followed as long as seven years, there has been threshold regression of 10 decibels or more from the point of highest postoperative gain in only 1.5% of cases. Results reported recommend this technique as a step toward a more physiologic solution to the problem of stapedial ankylosis.

Journal

JAMAAmerican Medical Association

Published: Mar 7, 1964

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