Abstract

Significant strides have recently been made in the development of surgical techniques for the relief of otosclerotic deafness. At present, the otologic surgeon has at his disposal a number of surgical procedures which can be applied to meet the varying technical problems encountered among his otosclerotic surgical patients. In this regard, probably the most important single contribution to otologic microsurgery evolved during the past 5 years is the introduction by Shea of the total stapedectomy with vein graft and polyethylene prosthesis. 1 Since its first published description, a number of variations of Shea's original procedure have been introduced and applied with approximately the same incidence of significant improvement in auditory sensitivity. 2-5 It is important to emphasize that all of these procedures possess a common element—the partial or complete removal of the stapes footplate and the use of some transplanted material to cover the patent oval window. The present

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