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Stapedioplasty: A New Concept for Stapes Surgery

Stapedioplasty: A New Concept for Stapes Surgery Abstract The recently revived technique for restoring functional stapes mobility in cases of clinical otosclerosis was directed initially toward breaking through the otosclerotic lesion.1 While a significant number of patients have maintained a serviceable level of hearing following this procedure, initial failure to obtain improvement and subsequent refixation have continued to frustrate the efforts of the otological surgeons. Various modifications of technique have been evolved with the hope of increasing the percentage of lasting hearing improvements. These have included (1) perforation (fenestration) of the footplate,2 (2) vein graft and polyethylene insert after stapedectomy,3 and (3) removal of the stapes crura with fragmentation of the central area of the footplate and insertion of a tantalum pin between the incus and footplate to replace the crura.4 The third method, which was conceived by Schuknecht, seemed to me to be the most logical and least hazardous but had the objection References 1. Rosen, S.: Palpation of the Stapes for Fixation , A.M.A. Arch. Otolaryng. 56:610-615, 1952.Crossref 2. Rosen, S.: Fenestra Ovalis for Otosclerotic Deafness , A.M.A. Arch. Otolaryng. 64:227-237, 1956.Crossref 3. Shea, J., Jr.: Discussion of Stapes Mobilization Symposium , Transactions of American Laryngological, Rhinological and Otological Society, 1958. 4. Schuknecht, H.: Discussion of Stapes Mobilization Symposium , Transactions of American Laryngological, Rhinological, and Otological Society, 1958. 5. Basek, M., and Fowler, E. P., Jr.: Anatomical Factors in Stapes Mobilization Operations , A.M.A. Arch. of Otolaryng. 63:589, 1956.Crossref 6. Altman, F., and Basek, M.: Histological Examination of a Case of Otosclerosis Fifteen Months After Stapes-Mobilization Operation , A.M.A. Arch. Otolaryng. 68:314-324, 1958.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

Stapedioplasty: A New Concept for Stapes Surgery

A.M.A. Archives of Otolaryngology , Volume 71 (2) – Feb 1, 1960

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Publisher
American Medical Association
Copyright
Copyright © 1960 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1960.03770020177023
Publisher site
See Article on Publisher Site

Abstract

Abstract The recently revived technique for restoring functional stapes mobility in cases of clinical otosclerosis was directed initially toward breaking through the otosclerotic lesion.1 While a significant number of patients have maintained a serviceable level of hearing following this procedure, initial failure to obtain improvement and subsequent refixation have continued to frustrate the efforts of the otological surgeons. Various modifications of technique have been evolved with the hope of increasing the percentage of lasting hearing improvements. These have included (1) perforation (fenestration) of the footplate,2 (2) vein graft and polyethylene insert after stapedectomy,3 and (3) removal of the stapes crura with fragmentation of the central area of the footplate and insertion of a tantalum pin between the incus and footplate to replace the crura.4 The third method, which was conceived by Schuknecht, seemed to me to be the most logical and least hazardous but had the objection References 1. Rosen, S.: Palpation of the Stapes for Fixation , A.M.A. Arch. Otolaryng. 56:610-615, 1952.Crossref 2. Rosen, S.: Fenestra Ovalis for Otosclerotic Deafness , A.M.A. Arch. Otolaryng. 64:227-237, 1956.Crossref 3. Shea, J., Jr.: Discussion of Stapes Mobilization Symposium , Transactions of American Laryngological, Rhinological and Otological Society, 1958. 4. Schuknecht, H.: Discussion of Stapes Mobilization Symposium , Transactions of American Laryngological, Rhinological, and Otological Society, 1958. 5. Basek, M., and Fowler, E. P., Jr.: Anatomical Factors in Stapes Mobilization Operations , A.M.A. Arch. of Otolaryng. 63:589, 1956.Crossref 6. Altman, F., and Basek, M.: Histological Examination of a Case of Otosclerosis Fifteen Months After Stapes-Mobilization Operation , A.M.A. Arch. Otolaryng. 68:314-324, 1958.Crossref

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Feb 1, 1960

References