Persistent Stapedial Artery Encountered during Cochlear Implantation. (22nd February 2022)

• Record Type: Journal Article
• Authors: Jones, Holly; Hintze, Justin; Gendre, Adrien; Wijaya, Clifton; Glynn, Fergal; Viani, Laura; Walshe, Peter
• Other Names: Gupta Manish Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2022(2022)
• Publication Date: 2022-02-22
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2022/8179062
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : 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.