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Case Reports
. 2022 Feb 22:2022:8179062.
doi: 10.1155/2022/8179062. eCollection 2022.

Persistent Stapedial Artery Encountered during Cochlear Implantation

Holly Jones  1 , Justin Hintze  1 , Adrien Gendre  1 , Clifton Wijaya  1 , Fergal Glynn  1 , Laura Viani  1 , Peter Walshe  1
Affiliations
Case Reports

Persistent Stapedial Artery Encountered during Cochlear Implantation

Holly Jones et al. Case Rep Otolaryngol. .

Abstract

Objectives: Persistent stapedial artery (PSA) is a rare congenital anomaly that can complicate middle ear surgery.

Methods: We present the case of a 25-year-old male who underwent right-sided cochlear implantation. A PSA was encountered lying over the middle promontory intraoperatively.

Results: The PSA was carefully lifted off the middle ear promontory using a Hughes elevator to divide adhesions and delineate the artery. The implant electrode was placed through the round window niche in the usual fashion. Tragal cartilage and fibrin glue were used to control the trajectory of the electrode.

Conclusion: Cochlear implantation can be performed safely in patients with PSA.

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Conflict of interest statement

The authors declare that there are no conflicts of interest.

Figures

Figure 1
Figure 1
Persistent stapedial artery (x) lying over the middle ear promontory.
See this image and copyright information in PMC

References

    1. Govaerts P. J., Marquet T. F., Cremers W. R. J., Offeciers F. E. Persistent stapedial artery: does it prevent successful surgery? Annals of Otology, Rhinology & Laryngology . 1993;102(9):724–728. doi: 10.1177/000348949310200914. - DOI - PubMed
    1. Moreano E. H., Paparella M. M., Zelterman D., Goycoolea M. V. Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones. The Laryngoscope . 1994;104(3 Pt 1):309–320. doi: 10.1288/00005537-199403000-00012. - DOI - PubMed
    1. Silbergleit R., Quint D. J., Mehta B. A., Patel S. C., Metes J. J., Noujaim S. E. The persistent stapedial artery. AJNR. American journal of neuroradiology . 2000;21(3):572–577. - PMC - PubMed
    1. Steffen T. N. Vascular anomalies of the middle ear. The Laryngoscope . 1968;78(2):171–197. doi: 10.1288/00005537-196802000-00001. - DOI - PubMed
    1. Kwok K., Lo S., Tsang T. K., et al. Imaging features. Journal of the Hong Kong College of Radiologists . 2009;12:p. 1.

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