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July 7, 1962

Stapes Surgery for Otosclerosis

JAMA. 1962;181(1):65. doi:10.1001/jama.1962.03050270067023

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Stapedial and peristapedial surgery, practiced on a fairly large scale around the turn of the century, was dormant until about 10 years ago, when, revived, it reached an unprecedented degree of prestige. From the beginning of this renaissance the author was one of the protagonists, not merely performing the surgical intervention, but also working out the difficult question of indications and thoroughly evaulating the results. Hence, he was most competent to give a survey of the status of the problems which stand in the foreground of interest. After discussing the pathology of stapes ankylosis, the physiologic considerations regarding the basis of the hearing loss are analyzed. Differential diagnosis, indications for surgery, surgical techniques, evaluation of results, and semicircularcanal fenestration are dealt with in separate chapters. Some 29 detailed case histories accompany the abundantly illustrated work, leaving little doubt, that albeit many surgical and other problems remain to be solved, long-lasting