As the Fourth International Symposium of Otosclerosis, held in Detroit, in November, 1960, set forth conclusively, stapedial procedure has now reached "its majority." If it is still opposed by some authors for its aggressive ways, it seems almost unanimously acknowledged and taken up, now, even by surgeons who were, only yesterday, keen upholders of fenestration of the semicircular canal exclusively.
But there are at present numerous techniques, and the specialist without any personal experience cannot choose among the tens of methods that were set forth in Detroit, with, for each one of them, technical or statistical arguments that always proved convincing in the mouths of their respective authors.
Indeed, after the usual transcrural mobilization, numerous methods of stapedial surgical procedures appeared. They all originated in the disappointment that surgeons had with transcrural mobilization. Transcrural mobilization is not always successful; furthermore, there is not a specialist who can deny that this
PORTMANN M. Present Stapedial Surgical Procedure: Comments on Stapedectomy or Interposition. Arch Otolaryngol. 1961;74(1):11–17. doi:10.1001/archotol.1961.00740030014004
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