When an account of the one stage endaural fenestration of the labyrinth for the relief of otosclerosis was first published, I refused to attempt the operation because I believed there was a definite danger of a meningitis due to the opening of the internal ear which the technic required. After being convinced there was no undue danger from this source, I decided to learn from personal experience the merits of this work.
Since July 1940 I have performed the operation in 32 cases. In the first 18 of these cases I followed Lempert's1 original method, which involved exenteration of the mastoid, removal of the head of the malleus and fenestration of the horizontal semicircular canal with the incus in its normal position. In the remaining 14 cases I used the Lempert1a "fenestra nov-ovalis" technic, or what I shall call his "new method." With this new method the operator, after exenterating
SMITH JM. THE FENESTRATION OPERATION FOR OTOSCLEROSIS: REPORT OF THIRTY-TWO CASES. Arch Otolaryngol. 1943;37(2):174–182. doi:10.1001/archotol.1943.00670030183003
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