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July 1984

A Jehovah's Witness and Homograft Ossicular Implantation

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Arch Otolaryngol. 1984;110(7):485. doi:10.1001/archotol.1984.00800330067018

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To the Editor.—Well known to all in our profession is the Jehovah's Witness' refusal to accept blood products. We have recently been confronted with a variation of their belief while performing a middle-ear reconstruction on a patient who is a Jehovah's Witness. We would like to share our experience with colleagues who may encounter a similar situation.

Report of a Case.—A 20-year-old Jehovah's Witness was undergoing a modified radial mastoidectomy for chronic otitis media. Following removal of disease, it was evident that an incus transposition would nicely reconstruct the middle ear, yet the patient's own incus was unsuitable for transposition. We elected at that time to perform a homograft incus transposition, yet after sculpting the incus into an appropriate shape, pondered whether her religious beliefs would allow the use of someone else's incus. Unsure of the answer, we abandoned this technique in favor of an autogenous cortical

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