Long-Term Studies of Different Techniques

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Abstract
JUST 30 years ago this year Sourdille described his epoch-making operation for otosclerosis before the New York Academy of Medicine. A few months later Lampert combined Sourdille's multiple stage procedure into the more practical one-stage fenestration operation, and the curtain rose upon the modern era of reconstructive surgery for conductive hearing losses. At first Sourdille and Lempert were severely, in fact bitterly, criticized, the critics saying "Perhaps you can restore useful hearing, briefly, but it won't last!" Today the climate of otologic thought toward surgery for otosclerosis has changed from frigid to temperate and one never hears this criticism of stapes operations. Yet we must admit that not all of our initially brilliant stapedectomies remain so brilliant. As further growth of otosclerotic bone across the oval window, necrosis of the tip of the incus, perilymph fistulas, and cochlear deterioration from the otosclerotic lesion itself take their toll, we continue to

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