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October 1968

Modification of the Technique of Repositioning the Posterior Crus in Otosclerosis

Author Affiliations

Moscow; Los Angeles
From the Audiological Section (Head, Professor N. A. Preobrazhenskii) of the Clinic of the Moscow Scientific Research Institute of Ear, Throat and Nose (Director, Professor N. A. Bobrovskii).

Arch Otolaryngol. 1968;88(4):454-457. doi:10.1001/archotol.1968.00770010456027

PRESENTLY, otologic surgeons strive to use unaltered parts of the stapes in stapedioplasty in view of the potential dangers to the inner ear which can arise when the replacement for the stapes is made of artificial materials and the occurrence of a large number of complications.

Techniques well known in the literature of partial stapedectomy and stapedioplasty by means of interposition of a stapedial crus are basically alike. These techniques utilize the posterior crus (with or without the adjoining section of the foot plate) following fracture or removal of either the entire foot plate or only the anterior crus. The entire oval window or its partial opening is covered with a piece of vein or with a resorbable gelatin sponge. In the presence of a violation of the integrity of the incudostapedial articulation some surgeons fortify it with a vein. While performing these operations, many surgeons seek to preserve, undamaged,

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