[Skip to Content]
[Skip to Content Landing]
Article
May 1950

SELECTION OF PATIENTS FOR FENESTRATION SURGERY

Author Affiliations

IOWA CITY
From the Department of Otolaryngology and Oral Surgery, University Hospitals, State University of Iowa College of Medicine.

Arch Otolaryngol. 1950;51(5):707-723. doi:10.1001/archotol.1950.00700020732009
Abstract

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

×