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December 1974

Posterior Arch Stapedioplasty: Ten Commandments for Stapedectomy

Author Affiliations

From the Department of Surgery, School of Medicine, the Center for the Health Sciences, Los Angeles.

Arch Otolaryngol. 1974;100(6):460-464. doi:10.1001/archotol.1974.00780040474010

Posterior arch stapedioplasty is a variant of earlier "interposition" procedures. It is based on three conservation principles. (1) Acoustic advantages of lever arm and columellar mass, (2) tendon effect, and (3) the tissue integrity of the mucoperiosteal envelope from incus to oval window seal.

In stapedectomy as a general concept, employing any technique, I suggest ten human "commandments."