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Moderator Goodhill: I am going to start the order of the day's presentations with Dr. Rosen. I am going to ask him what he means by "window hearing," and whether he means that window hearing is normal hearing—simply minus the transformer action—or what other concepts he has on this score.
Dr. Rosen: Well, truly, Vic, I do not believe I have any real concepts on this. I do not think any of us have any that are yet proved, but if a patient does not have an intact ossicular chain, if the incus is removed, if the crura are fractured and removed, and if the footplate is not mobilized, I will frequently—but not always—penetrate the footplate and make a tiny opening. If such a patient's hearing is improved considerably, then he is obviously not hearing by any transformer mechanism.
It can always be said, "How do you know, later
GOODHILL V, WULLSTEIN H, ANSON B, et al. Theoretical Aspects of Stapes Mobilization. AMA Arch Otolaryngol. 1960;71(2):248–256. doi:https://doi.org/10.1001/archotol.1960.03770020120018
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