SELECTION of patients for fenestration surgery is entirely dependent on the ability to recognize certain characteristic features which, in combination, comprise the clinical entity of otosclerosis. As in certain other labyrinthine disturbances, the correlation between the pathologic picture and the clinical manifestations thereof is a matter of presumption based on retrospection in the autopsy rooms, in the histology laboratory and on observations made at the operating table.
Otosclerosis is a histologic diagnosis. The principal structures involved are the oval and round windows and the cochlea. The presence of otosclerosis may be determined with certainty only when the temporal bone is made available for microscopic study. Apparently this condition occurs only in man and has never been reproduced identically in animals, although considerable effort to do so has been made.1
For more than half a century otosclerosis has been and still is the subject of intensive research and not a little
KOS CM, REGER SN. SELECTION OF PATIENTS FOR FENESTRATION SURGERY. Arch Otolaryngol. 1950;51(5):707–723. doi:10.1001/archotol.1950.00700020732009
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