Abstract

This is a further report on a method of mobilizing the stapes for the improvement of hearing in otosclerosis which does not require an incision and opening into the middle ear cavity. It has proved successful in 58% of selected cases. Recorded attempts to improve hearing date back to the works of Celsus.2It can be said that surgical measures to overcome deafness began in 1801, when Sir Astley Cooper3advocated perforating the ear drum membrane for deafness owing to obstruction of the Eustachian tube. He reported the results in 20 cases. Thereafter for many years the tympanic membranes were opened or removed in the hope of improving hearing. Subsequently, the ossicles, one or all, were removed. In 1876, Kessel6attempted to mobilize the fixed stapes footplate. His ideas were followed by many others; notable among them were Miot,8Blake,1and Jack.5 Probably because

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