The use of the 2 X magnifying loupe in mastoid and ear surgery has become standard procedure. In the stapes mobilization operation greater magnification is desired by most surgeons, especially when working about the footplate area. The Zeiss microscope, of course, is the ultimate in this respect. For those who do not have access to this fine instrument or who desire the easier maneuverability and flexibility afforded by one's own controlled head movements, the 6 X Lempert-Storz glasses with the following adaptations may be used to good advantage.
When these glasses are used with a headlight, two annoying disadvantages keep cropping up. One is the need for frequent manual adjustments of the headlight and the other is the contamination of instrument against the glasses, because of the restricted working distance when 6 X magnification is used.
To overcome the first I have utilized the fixed-focus, bright, and easily adjustable light
LAFF HI. Use of Six-Power Glasses with Otoscope in Stapes Mobilizations. AMA Arch Otolaryngol. 1958;68(2):214–215. doi:10.1001/archotol.1958.00730020222014
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