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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Format: | Article |
Language: | English |
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Wiley
2022-01-01
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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. |
format | Article |
id | doaj-art-160864c7e33342d1a58ffe36d890e139 |
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 |
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