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July 1961

Evaluation of Stapedectomy: Analysis of Results with Use of Absorbable Gelatin Sponge (Gelfoam)

Arch Otolaryngol. 1961;74(1):27-31. doi:10.1001/archotol.1961.00740030030007

Stapes surgery has gone through a rapid period of evolution since it was first reintroduced by Rosen1 in 1953, to the present-day stapedectomy developed by Shea.2 The best results which were recorded by various surgeons3,4 using the early mobilization technique quickly indicated that although high levels of hearing could be obtained, it was not a predictable procedure. The original technique of Rosen, which utilized pressure applied to the neck of the stapes, resulted in a maximum of 33% of patients obtaining improved hearing.5 Instrumentation at the footplate increased this percentage but also produced a larger per cent of stapes refixation. It became obvious that with excessive direct instrumentation, the otosclerotic lesion increased its activity. Bellucci6 has indicated in a recent survey that 70% of all originally successful cases using the original mobilization methods have resulted in refixation of the stapes and recurrence of deafness. This

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