Abstract
A significant advance in the surgical treatment of otosclerosis was introduced by Rosen 1 in 1953. Although stapes mobilization had been tried many years before, it remained for Rosen to apply modern methods to this procedure. It had been known since the dissections of Toynbee, 2 that fixation of the stapes at its oval window occurred in a great majority of cases. It remained for Politzer, 3 however, to demonstrate by means of histologic studies of a number of cases of deafness, after death, that otosclerosis was due to a primary disease of the labyrinth. In 1952, while testing for mobility of the stapes footplate preliminary to the performance of a fenestration operation, Rosen was astonished to find that he had mobilized the stapes and restored the patient's hearing. This experiment caused him to pursue the possibility of mobilizing the fixed footplate as a procedure of choice in suitable cases
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