Numerous attempts to deal surgically with otosclerosis were made before the
current method of stapedectomy with stapes prosthesis was established. We
report a case with unique CT findings of a patient who underwent fenestrati
on surgery for otosclerosis in the early 1940s. Recognition of this old sur
gical procedure on the imaging scans may avoid misdiagnosis of labyrinthine
fistulae or middle and inner ear malformations.