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October 1957

Mobilization of the Stapes in Otosclerosis by a Transtympanic Technique

Author Affiliations

New Orleans
From the Department of Otolaryngology, Tulane University of Louisiana School of Medicine.

AMA Arch Otolaryngol. 1957;66(4):383-390. doi:10.1001/archotol.1957.03830280013003

Mobilization of the stapes as a method of management of otosclerotic deafness has had a checkered history.1,2 It is just 80 years ago that Kessel failed with it, after he had previously failed to correct stapedial ankylosis caused by suppuration by removal of the drum, malleus, and incus, and as he was to fail later with total stapedectomy. Boucheron, in 1888, reported mobilization of the stapes in 60 cases, and two years later Miot reported 200 cases. Both had some good results, but in America, between 1891 and 1893, Blake, Jack, and Burnett all had such unsatisfactory results that they soon abandoned this operation in favor of total removal of the stapes.

In 1900, Siebenmann flatly stated that all operations on the stapes, whether mobilization or excision, were useless. The previous year, Faraci, although he had had only limited success with mobilization, predicted that when the technique was eventually