Early in this period of revived stapes surgery, it became apparent that refixation of mobilized stapes would be one of the key problems to be solved. The application of the mobilizing force to the head and neck of the stapes1 produced a low percentage of cases with improvement which, in the postoperative period, demonstrated a constant attrition, so that today, 5 years having elapsed, approximately 12% have maintained serviceable hearing. During this early period, there was an opportunity to learn more about the resistance of the labyrinth to surgical trauma, and the lesion itself became so well recognized that it was possible to make a classification of the gross pathology. Having recognized the otosclerotic lesion and, therefore, the point of fixation of the stapes, pressure for mobilization was then applied directly on the footplate at that point. Fewer fractures of the crura of the stapes occurred, and a higher
BELLUCCI RJ. Polyethylene Tubing in Bypass Surgery of the Stapes. Arch Otolaryngol. 1961;73(5):513–519. doi:10.1001/archotol.1961.00740020525004
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