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May 1955

Restoration of Hearing in Otosclerosis by Transtympanic Mobilization of the Stapes: Preliminary Report of Fifty Cases

AMA Arch Otolaryngol. 1955;61(5):513-534. doi:10.1001/archotol.1955.00720020530002

This paper is a preliminary report reviewing the results of 50 cases of clinical otosclerosis treated by the transtympanic method of mobilization of the stapes.

Kessel,1 Boucheron,2 Miot,3 and Faraci4 had reported cases of otosclerosis in which they tried to mobilize the stapes.

Boucheron (1888) did 60 cases. Miot (1890), who reviewed 200 cases, described in fair detail his technique of applying pressure by a palate-like instrument on the incudostapedial joint.

Rosen,5 in 1953, described his technique of mobilization, and it is basically his method which was used in operating on the cases which are included in this report. The principle of the operation is to loosen the stapes footplate from its fixed position in the oval window while leaving the ossicular chain intact. With the stapes mobilized in this manner, sound can again be conducted to the cochlea via the physiological ossicular mechanism.


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