Jb. Causse et al., IMPEDANCE TRANSFER - ACOUSTIC-IMPEDANCE OF THE ANNULAR LIGAMENT AND STAPEDIAL TENDON RECONSTRUCTION IN OTOSCLEROSIS SURGERY, The American journal of otology, 14(6), 1993, pp. 613-617
The resistance rebuilt around the lower tip of the piston must be the
same as that created by the annular ligament of the stapes footplate.
Otherwise, the threshold at which an acoustic or barotrauma is able to
damage the membranes and hair cells of the inner ear will be lowered.
The elasticity reestablished around the lower tip of the piston plays
a part in the quality and quantity of hearing for the low frequencies
up to 3 kHz. To protect the ear against acoustic traumas, an attempt
to rebuild the stapedial reflex is proposed.