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Diagnosis and Management of Far-Advanced Otosclerosis
Victor H. Hildyard, MD;
Isamu Sando, MD;
Sandra L. Davison, MA
Arch Otolaryngol. 1972;96(6):530-534.
Abstract
Far-advanced otosclerosis, as defined by Sheehy, is suitable for surgical procedures provided certain criteria are met. These are: a history commensurate with otosclerosis, tuning fork tests indicative of some bone-conduction hearing, and good voice quality and articulation. It is not necessary to obtain any audiometric responses by air or bone conduction.
Forty-one patients (59 ears) with far-advanced otosclerosis were designated as appropriate for stapes surgery on the basis of this specific diagnostic protocol. The diagnoses were confirmed at the time of surgery and 92% obtained some degree of postoperative improvement in hearing levels. It is evident that if the proper diagnostic criteria are used, the choice of stapes surgery for far-advanced otosclerosis is productive of satisfactory results.
Author Affiliations
Denver
From the University of Colorado Medical Center, Denver.
Footnotes
Accepted for publication March 29, 1972.
Reprint requests to 1666 S University Blvd, Denver 80210 (Dr. Hildyard).
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