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August 1969

Stapedectomy: A Report on 1,014 Operations

Author Affiliations

From the Otolaryngological Hospital, Helsinki University, Helsinki.

Arch Otolaryngol. 1969;90(2):129-136. doi:10.1001/archotol.1969.00770030131006

THE material for this paper is based upon 1,014 successive otosclerosis operations performed in the period of 1960 to 1966. The study consists of 894 patients, 284 (31.8%) men and 610 (68.2%) women. Some of the patients were operated on bilaterally. The primary object of the surgery was, of course, to improve the patients' hearing though—because of advanced age, severity of the impairment of hearing, and high degree of sensorineural loss—a very successful result did not appear likely in some cases.

Figure 1 shows the age distribution. The majority of the patients were between 31 and 60 years of age.

Surgical Techniques  At the time of operation our aim was to remove the whole, or as much as possible, of the stapes plate. The principle of interposition was followed, ie, one or both crura were preserved and brought into contact with the material closing the oval window. If the stapes

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