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Updated: May 16, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
Vibrant Soundbridge system: application of the stapes coupling technique
W S S Tsang1, J K Y Yu, T K C Wong
1Department of Otorhinolaryngology, Head and Neck Surgery and The Institute of Human Communicative Research, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong SAR, China.
The Vibrant Soundbridge stapes coupling technique offers a less complex, successful alternative for hearing restoration, preserving residual hearing and minimizing complications in patients with ossiculoplasty failure.
Area of Science:
- Otolaryngology
- Biomedical Engineering
- Auditory Implants
Background:
- Stapes coupling technique in Vibrant Soundbridge is less demanding than vibroplasty.
- This technique offers a higher likelihood of positive outcomes.
- It aims to preserve residual hearing and avoid surgical complications.
Purpose of the Study:
- To evaluate the efficacy of the Vibrant Soundbridge stapes coupling technique.
- To present a case of successful implantation in a patient with prior ossiculoplasty failure.
Main Methods:
- A case report of a patient with recurrent left ossiculoplasty failure.
- Successful implantation using the Vibrant Soundbridge system with stapes coupling.
Main Results:
- The patient achieved a successful outcome following Vibrant Soundbridge implantation.
- The stapes coupling technique was technically feasible and effective in this case.
Conclusions:
- Stapes coupling technique provides natural inner ear stimulation.
- This can lead to improved perceived sound quality.
- It represents a viable option for hearing restoration in complex cases.
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