THERE have been no reports in the literature of stapes homografts in the human oval window.
Over the past four years we have used incus homografts in the human oval window in approximately 33 cases (Hildyard et al, unpublished data). These homografts have had no demonstrable effect on cochlear or vestibular function. As a result of this experience one of the authors (V. H. H.) decided to employ a stapes homograft in four selected cases. All of these patients had previous surgery for otosclerotic fixation of the stapes footplate. The original surgical procedure in these cases had resulted in an improvement in hearing. However, several months after surgery three patients developed an oval window fistula with loss of hearing and severe chronic vertigo (Hemenway et al, unpublished data). A conductive hearing loss due to refixation of the stapes developed several months after surgery in the fourth patient.
The stapes homograft
Hildyard VH, English GM, DeBlanc GB, Hemenway WG. Stapes Homograft: A Report of Four Human Cases. Arch Otolaryngol. 1968;88(1):55–62. doi:10.1001/archotol.1968.00770010057011
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