Introduction: The use of the stapes coupling technique, employed in the Vibrant Soundbridge system, is technically less demanding than the vibroplasty technique, and is more likely to generate a positive outcome without significantly changing residual hearing or resulting in medical or surgical complication. Method: We report a patient with repeated left ossiculoplasty failure, who was successfully implanted with a Vibrant Soundbridge. Conclusion: We believe that the stapes coupling technique can provide natural stimulation to the inner ear, resulting in a better perceived sound quality.
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