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September 1965

A Four-Year Study of the Stainless Steel Stapes

Author Affiliations

Surgeon-in-chief, Department of Otolaryngology, Miriam Hospital, Providence, RI; associate surgeon in otolaryngology, Rhode Island Hospital, Providence; assistant, Massachusetts Eye and Ear Infirmary, Boston.

Arch Otolaryngol. 1965;82(3):217-235. doi:10.1001/archotol.1965.00760010219003

Introduction  IN THIS thesis I illustrate a technique and describe surgical principles employed by me since 1960 in the treatment of otosclerosis. Experiences and results based upon a large series of cases using my original stainless steel stapedial prosthesis are reported. Other stapedectomy techniques, well-known and well-documented, will not be elaborated upon, except insofar as they relate to this procedure.

Evolution  In 1960 a stainless steel stapes prosthesis was developed as a substitute for the Shea polyethylene strut in the stapedectomy-vein graft operation.1 The basic design of this prosthesis was the most important single improvement over the Shea polyethylene strut, and it was possible to a large extent by the use of a different implant material, type 316 stainless steel. The prosthesis was designed to have a rod-like shape except for its proximal attachment area where the lenticular process of the incus would be inserted into a small socket

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