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| | eMedicine - Middle Ear, Otosclerosis : Article by Jack A Shohet, MD |
 | | Toynbee described fixation of the stapes to the margins of the oval window in 1841 and found similar cases in 136 of 1,000 temporal bone dissections. |
 | | Stapes fixation produces an audiometric artifact known as the Carhart notch, which is characterized by elevation of bone conduction thresholds of 5 dB at 500 Hz, 10 dB at 1000 Hz, 15 dB at 2000 Hz, and 5 dB at 4000 Hz. |
 | | Documenting the risks of a stapes operation is helpful from a medicolegal standpoint; the risks of stapes include, but are not limited to permanent and complete hearing loss, facial paralysis, permanent or temporary taste alterations, tinnitus, vertigo, tympanic membrane perforation, infection, and failure of the surgery to improve hearing. |
| www.emedicine.com /ent/topic218.htm (4114 words) |
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