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Updated: Jun 19, 2026
09:20
Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
[Persistent stapedial artery with otosclerosis]
R Breheret1, A Bizon, J-Y Tanguy
1Service d'otorhinolaryngologie et de chirurgie cervicofaciale, CHU d'Angers, 49033 Angers cedex 01, France. renaud.breheret@free.fr
Summary
A rare vascular malformation, persistent stapedial artery, can be safely managed during stapes surgery. Laser coagulation allows successful stapedotomy, even with associated otosclerosis.
Area of Science:
- Vascular malformations
- Otology
- Surgical techniques
Background:
- A persistent stapedial artery is a rare congenital vascular anomaly.
- Diagnosis is typically confirmed via CT imaging and intraoperative findings.
- This condition can present during otologic procedures like stapes surgery.
Observation:
- A case report details a 19-year-old female diagnosed with a persistent stapedial artery during stapes surgery.
- CT scans revealed bilateral anatomical variation and signs of otosclerosis.
- The vascular malformation was successfully managed using laser coagulation.
Findings:
- The persistent stapedial artery was identified and successfully coagulated with a laser.
- This allowed for the completion of the planned stapedotomy procedure.
- The patient's condition did not contraindicate proceeding with stapedotomy.
Implications:
- Persistent stapedial artery is not an absolute contraindication for stapedotomy.
- Laser coagulation is a safe and effective method for managing this vascular anomaly during surgery.
- This approach enables successful stapes surgery in patients with this rare condition.
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