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February 1967

Subluxation and Depression of Stapes FootplateComparison With Fat Graft and Wire Stapedectomy

Arch Otolaryngol. 1967;85(2):182-183. doi:10.1001/archotol.1967.00760040184009

THE TECHNIQUE of subluxation and depression of the stapes footplate for the surgical treatment of otosclerosis originated in 1959. Simple mobilization of the stapes could improve hearing in one third of the operations attempted. A survey after five years revealed regression of hearing to the preoperative level had occurred in all but 12% of successful cases. On the other hand, stapedectomy was a new method at that time and largely unproven.

The merits of the subluxation and depression technique can be restated, and the results are considered to be excellent after more than five years of observation.

The object of this technique is to bypass the otosclerotic lesion by removing the head and crura of the stapes and subluxating the footplate from the annular ligament, depressing it slightly into the vestibule. The footplate, therefore, is free of contact with vestibular bone and held depressed by a polyethylene tube which is