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December 1962

Analysis and Management of Some Stapedectomy Failures

Arch Otolaryngol. 1962;76(6):532-541. doi:10.1001/archotol.1962.00740050546008

During the past 4 years we have utilized the Shea technique of stapedectomy with vein graft and polyethylene prosthesis1,2 to relieve deafness caused by otosclerosis. The percentage of patients benefiting from this particular procedure has been high. A statistical study of our surgical results3,4 reveals that more than 91% of patients have been given socially adequate hearing by means of the surgery. There are, however, almost 9% of our stapedectomy patients who have not been helped. As a result, we have constantly directed our attention towards studying these failures in order to improve our rate of surgical success. Careful clinical and audiologic examinations were performed on these patients, and whenever feasible an exploratory procedure was undertaken in order to determine the etiology of the surgical failure. As a result, sufficient clinical experience has now been accumulated to make it possible for us to discuss not only our surgical

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