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February 1958

Stapes Mobilization—Problems and Perspectives

Author Affiliations

Los Angeles
From the Departments of Otolaryngology, University of Southern California School of Medicine and Cedars of Lebanon Hospital; and the Deafness Research Laboratory at Childrens Hospital, Los Angeles.

AMA Arch Otolaryngol. 1958;67(2):142-147. doi:10.1001/archotol.1958.00730010148002

At this stage of stapes mobilization surgery, it appears appropriate to evaluate some existing problems, and to consider some perspectives.

The two problems to be presented are the following:

  • The footplate approach

  • Delayed postoperative threshold shift.

A perspective which merits discussion is the question of combined myringoplasty and stapes mobilization in otosclerotics with tympanic deformities due to coexistent adhesive otitis.

I. The Footplate Approach  There has been a significant evolution in the modus operandi of the surgical technique of stapes mobilization since the first publication of Rosen,1 when he advised mobilization via the stapedial neck with a specially curved instrument. Shortly thereafter, others2-3 suggested force application through the lenticular process of the incus, through the capitulum of the stapes, and other modifications in the region of the incudostapedial joint. It was quite logical that initial attempts to mobilize the ankylosed stapedial footplate should begin at the

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