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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Autores principales: Jones, Holly, Hintze, Justin, Gendre, Adrien, Wijaya, Clifton, Glynn, Fergal, Viani, Laura, Walshe, Peter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888055/
https://www.ncbi.nlm.nih.gov/pubmed/35242393
http://dx.doi.org/10.1155/2022/8179062
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author Jones, Holly
Hintze, Justin
Gendre, Adrien
Wijaya, Clifton
Glynn, Fergal
Viani, Laura
Walshe, Peter
author_facet Jones, Holly
Hintze, Justin
Gendre, Adrien
Wijaya, Clifton
Glynn, Fergal
Viani, Laura
Walshe, Peter
author_sort Jones, Holly
collection PubMed
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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spelling pubmed-88880552022-03-02 Persistent Stapedial Artery Encountered during Cochlear Implantation Jones, Holly Hintze, Justin Gendre, Adrien Wijaya, Clifton Glynn, Fergal Viani, Laura Walshe, Peter Case Rep Otolaryngol Case Report 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. Hindawi 2022-02-22 /pmc/articles/PMC8888055/ /pubmed/35242393 http://dx.doi.org/10.1155/2022/8179062 Text en Copyright © 2022 Holly Jones et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jones, Holly
Hintze, Justin
Gendre, Adrien
Wijaya, Clifton
Glynn, Fergal
Viani, Laura
Walshe, Peter
Persistent Stapedial Artery Encountered during Cochlear Implantation
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8888055/
https://www.ncbi.nlm.nih.gov/pubmed/35242393
http://dx.doi.org/10.1155/2022/8179062
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