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Stapes footplate defect as a source of CSF leak and otogenic meningitis in a patient with a cochlear implant

December 10, 2018  |  Maria Vartanyan, MD; Fiona Hill, MBBS; Kumiko Orimoto, MD, PhD; Stephen O'Leary, PhD, FRACS, FAHMS

Clinicians should be proactive in ensuring that cochlear implant patients have received comprehensive immunization.

Persistent stapedial artery with ankylosis of the stapes footplate

August 22, 2018  |  Fiona C. Hill, MBBS; Bing Teh, MBBS; Michael Tykocinski, FRACS

Persistent stapedial artery may present as a pulsatile middle ear mass or may appear as an incidental finding during middle ear surgery.

Stapes surgery in patients with a small air-bone gap

August 18, 2018  |  Jeremy Lavy, FRCS(ORL-HNS); Fiona McClenaghan, MRCS

Abstract

The objective of this study was to determine hearing outcomes in patients undergoing stapes surgery with a preoperative air-bone gap (ABG) <21.25 dB. Patients with a unilateral or bilateral preoperative ABG <21.25 dB undergoing primary stapes surgery were identified from...

Revision stapes surgery after stapedotomy: A retrospective evaluation of 75 cases

June 28, 2018  |  Enrico Maria Amadei, MD; Claudio Cola, MD

Abstract

We retrospectively evaluated a series of 75 surgical revisions after stapedotomy for the treatment of otosclerosis, carried out between 2001 and 2015. Intraoperative findings, causes of failure, and surgical solutions using an angular prosthesis, Causse prosthesis, and glass-...

Microcomputed tomography of the stapes: Wide-ranging dimensions

April 30, 2018  |  Jason Patrick Calligas, MD; Norman Wendell Todd Jr., MD, MPH

Abstract

Although human stapes are known to have varied dimensions and the footplate is considered to be oval (fitting as it does into the oval window), few studies of high-resolution imaging of these structures have been performed. No study appears to have addressed the bilateral...

Cerebrospinal fluid leak during stapes surgery: Gushing leaks and oozing leaks, two different phenomena

August 24, 2017  |  Juan Luis Quesada, MD; Giovanni Cammaroto, MD; Lilla Bonanno, PhD; Francesco Galletti, MD; Pedro Quesada, MD

Abstract

Cerebrospinal fluid (CSF) leak is an uncommon event that can occur during stapes surgery. Such leaks can be classified as gushing leaks (stapes gushers) and oozing leaks. A stapes gusher is a massive flow of CSF through the perforated footplate that fills the...

Stapes-pyramidal fixation by a bony bar

April 30, 2017  |  N. Wendell Todd Jr., MD, MPH; Kai-Chieh Chan, MD

Anomalous stapes in Down syndrome

January 25, 2017  |  Daniel T. Ginat, MD, MS

It is important to consider the presence of inner ear anomalies in Down syndrome, which occur in up to approximately 75% of this population

Stapes-pyramidal fixation by a bony bar

October 25, 2016  |  Kai-Chieh Chan, MD

Stapes fixation caused by an ossified stapedius tendon with normal mobility of the footplate, although rare, should be included in the differential diagnosis of conductive hearing loss with a normal tympanic membrane.

Decision making in patients with natural myringostapediopexy: A study of the contralateral ear

September 19, 2016  |  Viviane Bom Schmidt, MD; Sady Selaimen da Costa, MD, PhD; Leticia Petersen Schmidt Rosito, MD; Neil Sperling, MD; Rodrigo Goncalves Dias, MD

Abstract

Naturally occurring myringostapediopexy frequently results in minimal hearing loss and is asymptomatic. Management decisions in such ears, however, often hinge on an appraisal of evolution toward cholesteatoma. The study of the contralateral ear has been used by our research...

Stapediovestibular ankylosis in an HIV/HCV-copositive patient

March 16, 2016  |  Stephan Radoslavov Lolov, MD, PhD, DSc

Abstract

To the best of the author's knowledge, no case of a patient with stapediovestibular ankylosis who was also coinfected with human immunodeficiency virus (HIV) and hepatitis C virus (HCV) has been previously described in the literature. This report describes the case of a 36-year...

Outcomes following ossicular chain reconstruction with composite prostheses: Hydroxyapatite-polyethylene vs. hydroxyapatite-titanium

June 12, 2013  |  Yoav Hahn, MD; and Dennis I. Bojrab, MD

Abstract

We conducted a retrospective study to compare the results of ossicular chain reconstruction (OCR) with two types of composite prosthesis: a hydroxyapatite-polyethylene (HAPEX) implant and a hydroxyapatite-titanium (HATi) prosthesis. We reviewed the records of 222 patients-104...

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