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March 1970

Surgical Luxation of the Footplate of the Stapes

Author Affiliations

From the Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston. Dr. Kohonen is currently with the Helsinki University Otolaryngological Hospital, Helsinki.

Arch Otolaryngol. 1970;91(3):242-249. doi:10.1001/archotol.1970.00770040348005

The histological findings in the ears of five patients who sustained accidental surgical luxation of the stapes indicate that the extent of inner ear damage depends upon the size of the fistula cerated in the oval window and the amount of associated trauma to the structures in the vestibule. Ordinarily footplate injuries can be avoided during ear surgery by the use of appropriate magnification. if, however, luxation does occur, it should be possible to avoid inner ear damage by either repositioning of the footplate or sealing the fistula with tissue or gelfoam.