Fenestration in Stapedectomy Era

Abstract
THE POSSIBILITY of restoring hearing to within normal limits, the short period of hospitalization, and the lack of postoperative morbidity have caused stapes surgery almost entirely to supplant the classical fenestration operations of Lempert1 and of Shambaugh.2 It is not the purpose of this paper to compare the results of stapedectomy and fenestration but rather to point out that there is still a place for fenestration of the horizontal canal in the treatment of conductive deafness. Otosclerosis Although in most cases of clinical otosclerosis, stapedectomy, partial or complete, is possible and has become the operation of choice to restore hearing, occasionally the footplate is found to be obliterative. The term "obliterative" is used to designate those instances in which no oval window margin can be identified (Fig 1). The thickened "biscuit" type of footplate (Fig 2) may be enormously thick, but one can define a margin of oval

This publication has 0 references indexed in Scilit: