Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis-Case Report

: The persistent stapedial artery (PSA) is a rare congenital vascular malformation involving the middle ear. It is usually associated with pulsatile tinnitus and/or conductive hearing loss and can account for multiple risks during middle ear surgery. : we present a case of a 9-year-old male child wi...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-02, Vol.59 (3), p.461
Main Authors: Gheorghe, Dan Cristian, Epure, Veronica, Oprea, Doru, Zamfir-Chiru-Anton, Adina
Format: Article
Language:English
Subjects:
Abnormalities
Agenesis
Arteries - abnormalities
Carotid arteries
Case Report
Case reports
Causes of
Child
cochleostomy
Complications and side effects
Diagnosis
Ear, Middle - abnormalities
Ear, Middle - surgery
Hearing loss
Hearing Loss, Conductive - etiology
Hearing Loss, Conductive - surgery
Heart
Humans
Male
Medical imaging
Ossicular Prosthesis
ossiculoplasty
Otolaryngology
Pediatric research
persistent stapedial artery
Prostheses
Stapes - abnormalities
Stapes - blood supply
Surgery
Tinnitus
Veins & arteries
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Summary:: The persistent stapedial artery (PSA) is a rare congenital vascular malformation involving the middle ear. It is usually associated with pulsatile tinnitus and/or conductive hearing loss and can account for multiple risks during middle ear surgery. : we present a case of a 9-year-old male child with conductive hearing loss and persistent stapedial artery in his right ear, who was admitted to our ENT Department for hearing loss. During surgery, we discovered PSA along with congenital stapes agenesis and oval window atresia, as well as an abnormal trajectory of the mastoid segment of the facial nerve. After ossicular reconstruction (transcanal total ossicular replacement prosthesis) with cochleostomy, no surgical complications were recorded and hearing improvement was monitored by pre- and postoperative audiometry. : Stapedial artery is a rare anatomical middle ear abnormality that can prevent proper surgical hearing restoration and can be associated with other simultaneous temporal bone malformations.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina59030461