Short‐process incudo‐stapedioplasty in congenital ear malformation
Abstract Objectives Although various stapedotomy and stapedectomy techniques exist, anchoring the piston can be challenging. We present a novel surgical approach for treating congenital stapes malformations with an atypical facial nerve trajectory. Methods This is a case of a 7‐year‐old boy presenti...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-02-01
|
| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.70055 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850079388558688256 |
|---|---|
| author | Ryotaro Omichi Shin Kariya Akiko Sugaya Mizuo Ando |
| author_facet | Ryotaro Omichi Shin Kariya Akiko Sugaya Mizuo Ando |
| author_sort | Ryotaro Omichi |
| collection | DOAJ |
| description | Abstract Objectives Although various stapedotomy and stapedectomy techniques exist, anchoring the piston can be challenging. We present a novel surgical approach for treating congenital stapes malformations with an atypical facial nerve trajectory. Methods This is a case of a 7‐year‐old boy presenting with bilateral conductive hearing loss. Prior attempts at tympanoplasty had proven unsuccessful in improving his hearing. Presurgical imaging studies revealed an unusual anatomical configuration, with the facial nerve positioned inferior to the oval window. This anatomical variation precluded the use of conventional prosthesis‐anchoring techniques typically employed in stapedotomies. Thus, we devised an innovative approach, opting to anchor the prosthesis to the short process of the incus. Results This novel technique circumvented the atypical course of the facial nerve, allowing for successful reconstruction of the ossicular chain. The patient demonstrated an acceptable improvement (30 dB gain) in hearing 1‐year post‐surgery, with no reported complications. Conclusion This case underscores the critical importance of adapting surgical techniques to address the unique anatomical challenges that may arise in the context of congenital ear malformations. It also highlights the potential of the short process of the incus as a viable alternative anchoring site for stapes prostheses, thereby improving the outcomes of such complex cases. This technique not only restored the patient's hearing but also contributed valuable insights into the management of similar cases, potentially improving the quality of life for individuals with rare and challenging anatomical variations. Level of evidence 5. |
| format | Article |
| id | doaj-art-1efe4366c6cd4dff9580a3353f9779ac |
| institution | DOAJ |
| issn | 2378-8038 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj-art-1efe4366c6cd4dff9580a3353f9779ac2025-08-20T02:45:14ZengWileyLaryngoscope Investigative Otolaryngology2378-80382025-02-01101n/an/a10.1002/lio2.70055Short‐process incudo‐stapedioplasty in congenital ear malformationRyotaro Omichi0Shin Kariya1Akiko Sugaya2Mizuo Ando3Department of Otolaryngology‐Head and Neck Surgery, Dentistry and Pharmaceutical Sciences Okayama University Graduate School of Medicine Okayama JapanDepartment of Otolaryngology‐Head and Neck Surgery Kawasaki Medical School Okayama JapanDepartment of Otolaryngology‐Head and Neck Surgery, Dentistry and Pharmaceutical Sciences Okayama University Graduate School of Medicine Okayama JapanDepartment of Otolaryngology‐Head and Neck Surgery, Dentistry and Pharmaceutical Sciences Okayama University Graduate School of Medicine Okayama JapanAbstract Objectives Although various stapedotomy and stapedectomy techniques exist, anchoring the piston can be challenging. We present a novel surgical approach for treating congenital stapes malformations with an atypical facial nerve trajectory. Methods This is a case of a 7‐year‐old boy presenting with bilateral conductive hearing loss. Prior attempts at tympanoplasty had proven unsuccessful in improving his hearing. Presurgical imaging studies revealed an unusual anatomical configuration, with the facial nerve positioned inferior to the oval window. This anatomical variation precluded the use of conventional prosthesis‐anchoring techniques typically employed in stapedotomies. Thus, we devised an innovative approach, opting to anchor the prosthesis to the short process of the incus. Results This novel technique circumvented the atypical course of the facial nerve, allowing for successful reconstruction of the ossicular chain. The patient demonstrated an acceptable improvement (30 dB gain) in hearing 1‐year post‐surgery, with no reported complications. Conclusion This case underscores the critical importance of adapting surgical techniques to address the unique anatomical challenges that may arise in the context of congenital ear malformations. It also highlights the potential of the short process of the incus as a viable alternative anchoring site for stapes prostheses, thereby improving the outcomes of such complex cases. This technique not only restored the patient's hearing but also contributed valuable insights into the management of similar cases, potentially improving the quality of life for individuals with rare and challenging anatomical variations. Level of evidence 5.https://doi.org/10.1002/lio2.70055congenital ear malformationincusprosthesisstapedectomystapedotomy |
| spellingShingle | Ryotaro Omichi Shin Kariya Akiko Sugaya Mizuo Ando Short‐process incudo‐stapedioplasty in congenital ear malformation Laryngoscope Investigative Otolaryngology congenital ear malformation incus prosthesis stapedectomy stapedotomy |
| title | Short‐process incudo‐stapedioplasty in congenital ear malformation |
| title_full | Short‐process incudo‐stapedioplasty in congenital ear malformation |
| title_fullStr | Short‐process incudo‐stapedioplasty in congenital ear malformation |
| title_full_unstemmed | Short‐process incudo‐stapedioplasty in congenital ear malformation |
| title_short | Short‐process incudo‐stapedioplasty in congenital ear malformation |
| title_sort | short process incudo stapedioplasty in congenital ear malformation |
| topic | congenital ear malformation incus prosthesis stapedectomy stapedotomy |
| url | https://doi.org/10.1002/lio2.70055 |
| work_keys_str_mv | AT ryotaroomichi shortprocessincudostapedioplastyincongenitalearmalformation AT shinkariya shortprocessincudostapedioplastyincongenitalearmalformation AT akikosugaya shortprocessincudostapedioplastyincongenitalearmalformation AT mizuoando shortprocessincudostapedioplastyincongenitalearmalformation |