In 1878, Kessel1 was the first to try stapes mobilization. In 1956, Shea2revived the stapedectomy, closing the oval window with a thin layer of connective tissue after removal of the stapes, and inserting a prosthesis from incus to oval window to restore the normal mechanism of the middle ear. Many modifications have been added to Shea's stapedectomy technique. The Teflon interposition technique described in 1963 by J.R. Causse3 uses a whole Teflon piston against vein graft sealing. Currently, we usually compare the results obtained by removing the major part of the footplate and sealing it with a large vein graft, against those obtained by the insertion of a slim-shaft prosthesis into a small fenestra without any interposition.4
© 1985, The American Journal of Otology, Inc.