Persistent Stapedial Artery Encountered during Cochlear Implantation

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...

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Main Authors: Holly Jones, Justin Hintze, Adrien Gendre, Clifton Wijaya, Fergal Glynn, Laura Viani, Peter Walshe
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2022/8179062
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author Holly Jones
Justin Hintze
Adrien Gendre
Clifton Wijaya
Fergal Glynn
Laura Viani
Peter Walshe
author_facet Holly Jones
Justin Hintze
Adrien Gendre
Clifton Wijaya
Fergal Glynn
Laura Viani
Peter Walshe
author_sort Holly Jones
collection DOAJ
description 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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institution Kabale University
issn 2090-6773
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-160864c7e33342d1a58ffe36d890e1392025-02-03T01:20:11ZengWileyCase Reports in Otolaryngology2090-67732022-01-01202210.1155/2022/8179062Persistent Stapedial Artery Encountered during Cochlear ImplantationHolly Jones0Justin Hintze1Adrien Gendre2Clifton Wijaya3Fergal Glynn4Laura Viani5Peter Walshe6National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)National Hearing Implant and Research Centre (NHIRC)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.http://dx.doi.org/10.1155/2022/8179062
spellingShingle Holly Jones
Justin Hintze
Adrien Gendre
Clifton Wijaya
Fergal Glynn
Laura Viani
Peter Walshe
Persistent Stapedial Artery Encountered during Cochlear Implantation
Case Reports in Otolaryngology
title Persistent Stapedial Artery Encountered during Cochlear Implantation
title_full Persistent Stapedial Artery Encountered during Cochlear Implantation
title_fullStr Persistent Stapedial Artery Encountered during Cochlear Implantation
title_full_unstemmed Persistent Stapedial Artery Encountered during Cochlear Implantation
title_short Persistent Stapedial Artery Encountered during Cochlear Implantation
title_sort persistent stapedial artery encountered during cochlear implantation
url http://dx.doi.org/10.1155/2022/8179062
work_keys_str_mv AT hollyjones persistentstapedialarteryencounteredduringcochlearimplantation
AT justinhintze persistentstapedialarteryencounteredduringcochlearimplantation
AT adriengendre persistentstapedialarteryencounteredduringcochlearimplantation
AT cliftonwijaya persistentstapedialarteryencounteredduringcochlearimplantation
AT fergalglynn persistentstapedialarteryencounteredduringcochlearimplantation
AT lauraviani persistentstapedialarteryencounteredduringcochlearimplantation
AT peterwalshe persistentstapedialarteryencounteredduringcochlearimplantation