Perhaps the best way to describe the principles on which stapes surgery rests is the term "dynamic." Modern stapes surgery is not a standardized or fixed procedure; it is rather in process, constantly developing, growing, and expanding. Our measure of advance is the degree of success we meet in restoring and maintaining hearing by the best possible methods.
In the seven years of its renaissance, it is not an exaggeration to say that stapes surgery has revolutionized our approach to the problems and surgical treatment of otosclerotic deafness. But since stapes surgery is yet in its infancy, experimentation, evaluation, and careful observation of all that is being done remain of paramount importance.
Underlying all growth, change, and progress, there is inherent "order." A state of fluidity and experimentation does not mean chaos. Stapes surgery, for all its growth, also has its natural order, and we would do well not to
ROSEN S. Principles of Stapes Surgery. AMA Arch Otolaryngol. 1960;71(2):182–187. doi:10.1001/archotol.1960.03770020054010
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