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February 1969

Ossicular Transposition

Author Affiliations

Norrköping, Sweden

Arch Otolaryngol. 1969;89(2):226-228. doi:10.1001/archotol.1969.00770020228003

THE IDEA of improving hearing by stapedectomy and reconstruction of the ossicular chain is a logical step in hearing improvement surgery of the middle ear. Its aim is to reestablish an effective pathway for sound when the transmission properties of the ossicles are reduced by trauma or disease.

In 1955, this idea was developed by Hall and Rytzner,1 who introduced the method of stapedectomy and autotransplantation of ossicles. This method was described for the first time in 1957, in the April issue of Acta Otolaryngologica, almost exactly ten years ago.

The limits of hearing improvement in fenestration surgery were followed by the optimistic hope of obtaining permanently optimal hearing by stapes mobilization. We discovered that the same problems were encountered by our predecessors almost a century ago. To improve hearing, even stapedectomy was performed during the 19th century in Europe and the United States.

The basic principle of the