The recently revived technique for restoring functional stapes mobility in cases of clinical otosclerosis was directed initially toward breaking through the otosclerotic lesion.1 While a significant number of patients have maintained a serviceable level of hearing following this procedure, initial failure to obtain improvement and subsequent refixation have continued to frustrate the efforts of the otological surgeons. Various modifications of technique have been evolved with the hope of increasing the percentage of lasting hearing improvements. These have included (1) perforation (fenestration) of the footplate,2 (2) vein graft and polyethylene insert after stapedectomy,3 and (3) removal of the stapes crura with fragmentation of the central area of the footplate and insertion of a tantalum pin between the incus and footplate to replace the crura.4
The third method, which was conceived by Schuknecht, seemed to me to be the most logical and least hazardous but had the objection
JUERS AL. Stapedioplasty: A New Concept for Stapes Surgery. AMA Arch Otolaryngol. 1960;71(2):305–311. doi:10.1001/archotol.1960.03770020177023
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: