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February 16, 1963


JAMA. 1963;183(7):591-592. doi:10.1001/jama.1963.03700070119017

The patient with conductive-type deafness can frequently be helped with some form of reconstructive microsurgery of the middle ear. In some patients, dramatic hearing improvement may be obtained with relatively simple surgical procedures; others may require more complex procedures. The variations in pathology and the recent advances in modern ear surgery are described in a series of articles, "Stapedectomy and Tympanoplasty," which appeared in the August, September, and October, 1962, issues of the Archives of Otolaryngology.1-3

The stapedectomy section (Part I) describes the techniques for the removal of the otosclerotic stapes and the replacement of the stapes with a tissue graft and a stainless steel stapes. The ideal technique should produce minimal trauma to the inner ear and minimal disturbance to the physiology of the middle ear. The tympanoplasty and mastoid sections (Parts II and III) describe the techniques of the plastic reconstruction of the ear drum, the reconstruction