Considerations on mobilization of the stapes for otosclerosis.

Abstract

Stapes mobilization is the most important present-day interest in otology. Most otologists prefer to ascribe its discontinuance some 50 years ago to the lack of technical advantages. The many reports of success in this field would indicate that mobilization of the stapes will remain as another method for the improvement of hearing in otosclerosis. Those interested in mobilization of the stapes are trying to establish the procedure on a firm and lasting basis. However, one need only read everything that has been written on the subject since Rosen's first article appeared in 1952, and the literature of preceding years, to appreciate the many unknown or little understood factors which handicap the otologist and influence his results. Some of these are represented in the tremendous variety of histopathologic changes, their extent and location; the significance of the audiogram, the uncertain results, the incidence of recurrence, and an ignorance of the conditions