Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser.

Publication/Presentation Date

1-1-2018

Abstract

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

Volume

127

Issue

1

First Page

59

Last Page

63

ISSN

1943-572X

Disciplines

Medicine and Health Sciences

PubMedID

29160090

Department(s)

Department of Surgery, Division of Otolaryngology

Document Type

Article

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