Posterior arch stapedioplasty is a variant of earlier "interposition" procedures. It is based on three conservation principles. (1) Acoustic advantages of lever arm and columellar mass, (2) tendon effect, and (3) the tissue integrity of the mucoperiosteal envelope from incus to oval window seal. In stapedectomy as a general concept, employing any technique, I suggest ten human "commandments."
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Victor Goodhill (1974) studied this question.
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