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Stapedectomy: Gelfoam compared with tissue grafts
Author(s) -
Sheehy James L.,
Perkins John H.
Publication year - 1976
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197603000-00013
Subject(s) - stapedectomy , oval window , medicine , surgery , fascia , tissue graft , soft tissue , middle ear , transplantation , stapes , otosclerosis
The commonest causes of failure with the prefabricated wire loop‐gel‐foam pad technique are inferior displacement of the loop in the window, high membrane formation and window fibrosis. As a result of these problems some members of the Otologic Medical Group have abandoned the use of gelfoam in favor of tissue grafts. A comparison of the results with gelfoam, fat grafts, and fascia grafts in 573 primary cases is made. Tissue grafts yielded a lower incidence of postoperative vertigo, of temporary and permanent sensori‐neural hearing impairment, of fistulas and of long‐term hearing regression. The conclusion is that a tissue graft is preferable to gelfoam as an oval window covering in stapedectomy.