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The use of a small fenestra technique with the Fisch piston in the surgical treatment of otosclerosis

  • Christian Brahe Pedersen (a1)


The modern surgical treatment of otosclerosis consists of replacement of the sound conducting function of the stapes by a prosthesis. The results obtained in 100 consecutive patients using the small fenestra technique and a 0.4 mm. Teflon and steel wire prosthesis are reported. The surgical technique is described. The hearing was improved in all patients. In 92 per cent of the patients an optimal hearing gain was found after an observation time of 1 to 4 years. Five patients required re-operation during the observation time. The small fenestra technique and the Fisch prosthesis were considered optimal in respect to technical difficulty, hearing improvement and complication rate. There was no sensorineural hearing loss in this series of patients. The absence of serious complications makes it reasonable to operate on both ears in patients with bilateral hearing loss. The results are as good in elderly people as in younger people. Therefore the operation can be offered for patients in all age groups.


Corresponding author

Dr. C. Brahe Pedersen, Ass. professor, The University Hospital, DK 8000 Aarhus C, Denmark.


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Faye-Lund, F., Stangeland, N. and Røhrt, T. (1984) Long-term results of bilateral stapedectomy. Journal of Laryngology and Otology, 98: 247254.
Fisch, U. (1980) Tympanoplasty and stapedectomy. Georg Thime Verlag, Stuttgart.
Fisch, U. (1982) Stapedotomy versus stapedectomy. American Journal of Otology, 4: 112117.
Gristwood, R. E. and Venables, W. N. (1984) Otosclerosis in South Australia. Clinical Otolaryngology, 9: 221228.
Pedersen, C. Brahe and Elbrønd, O. (1983) Large versus small fenestration technique in stapedectomy. A comparative investigation of House and Fisch prosthesis in stapedectomy. Otolaryngology, 8: 2124.
Smyth, G. D. L., Hassard, T. H. and Kordy, A. F. A. (1980) Long-term hearing performance after stapedectomy. Journal of Laryngology and Otology, 94: 10971105.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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