Objective: Isolated congenital stapes ankylosis is rare but is a definite entity. Both small series and case reports have been published in various languages. The aim of this study was to review the world literature regarding isolated congenital stapes ankylosis and to critically evaluate the embryonic development of the stapes to explain the possible pathologic development of this ankylosis.
Data Sources: All the publications in the English, German, and French literature regarding congenital stapes anomalies were reviewed, and original research articles on the embryonic development of the stapes and related structures were extensively and critically reviewed.
Study Selection: Of the many varieties of congenital stapes anomalies described in the literature, only the isolated congenital stapes fixation due to footplate or suprastructure fixations were selected in this study.
Data Synthesis: After extensive and critical review of the embryonic development of the stapes, the complex and confusing embryonic development is explained in a simplified way with schematic illustrations for easy understanding. The possible theories of congenital stapes ankylosis are explained on an embryologic basis and supplemented with schematic illustrations.
Conclusion: Based on the development of the stapes an attempt has been made to explain the possible theories for the basis of suprastructure fixation. Theories of congenital fixation of footplate also discussed.
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Cureus
November 2024
Department of Otolaryngology, St. Marianna University School of Medicine, Kawasaki, JPN.
The persistent stapedial artery (PSA) is an exceedingly vascular anomaly that can lead to hearing loss or pulsatile tinnitus, yet its preoperative diagnosis is often challenging. We report the case of a 24-year-old woman with bilateral PSA and stapes ankylosis who presented with progressive bilateral mixed hearing loss. The patient was initially diagnosed with bilateral congenital stapes ankylosis and stapes surgery was performed on the left side using transcanal endoscopic ear surgery (TEES).
View Article and Find Full Text PDFLin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
December 2024
Retrospective analysis of clinical data of 123 patients with atticotomy, exploring the clinical characteristics of patients undergoing atticotomy and the efficacy of hearing reconstruction methods. 123 patients with atticotomy were divided into three groups according to the ossicular chain treatment method: preservation of the ossicular chain group(37 cases), cartilage elevation of stapes group(49 cases), and PORP group(37 cases). The clinical characteristics of patients with atticotomy, preoperative and postoperative hearing levels of the three groups of patients, and postoperative complications were analyzed.
View Article and Find Full Text PDFInt J Pediatr Otorhinolaryngol
December 2024
Department of Otolaryngology, University of Minnesota, Minneapolis, MN, USA; HealthPartners Medical Group, St. Paul, MN, USA. Electronic address:
Cureus
October 2024
Department of Otorhinolaryngology - Head and Neck Surgery, King Saud University, Riyadh, SAU.
The stapedius muscle is a very small skeletal muscle that connects the pyramidal eminence to the stapes through the stapedial tendon. It is very rare that stapedius muscle and tendon are congenitally absent; however, this has been reported previously in the literature and the current report. Our patient was a middle-aged male who presented with hearing loss.
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