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November 1955

Surgical Audiometry in Stapedolysis (Stapes Mobilization)

Author Affiliations

Los Angeles

AMA Arch Otolaryngol. 1955;62(5):504-508. doi:10.1001/archotol.1955.03830050046010

The interest of otologists has again been directed to the possible surgical alleviation of otosclerotic deafness by direct attack upon the stapediovestibular articulation. The approach through "stapes mobilization," advocated in the last century by Miot,1 Blake,2 Jack,3 and others, has been recently revived by Rosen,4 and considerable experimentation with techniques is going on at the present time.

In the attempt to reopen the closed acoustic pathway by manipulation of the stapes or, as I prefer to do, of the entire incudostapedial mass (transincudal stapedolysis), the only guide to progress in the surgical manipulation technique is the subjective response of the patient. It is known to otologic surgeons who work in this field that digital palpation in itself is not the final answer, and that neither the sensation of motion of either stapes or incus nor visualization tells the surgeon whether the closed stapedial vestibular articulation has

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