Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser.
OBJECTIVE: (1) Discuss the presentation and management of persistent stapedial artery (PSA) discovered incidentally during cholesteatoma surgery. (2) Review use of carbon dioxide (CO
PATIENTS: Two consecutive patients with PSA and primary acquired cholesteatoma.
INTERVENTION(S): Tympanomastoidectomy using a canal wall reconstruction technique.
MAIN OUTCOME MEASURE(S): Surgical healing, collateral damage to surrounding anatomy, and postoperative hearing.
RESULTS: Persistent stapedial artery was detected incidentally in 2 patients, manifesting with heavy pulsatile bleeding arising during dissection of mesotympanic cholesteatoma. Preoperative computed tomography scans demonstrated absent foramen spinosum but no other aberrant vascular anatomy. Using CO
CONCLUSIONS: A CO
Published In/Presented At
Stevens, S. M., Walters, Z. A., Tawfik, K., & Samy, R. N. (2018). Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser. The Annals of otology, rhinology, and laryngology, 127(1), 59–63. https://doi.org/10.1177/0003489417742921
Medicine and Health Sciences
Department of Surgery