Title
Persistent stapedial artery : does it prevent successful surgery? Persistent stapedial artery : does it prevent successful surgery?
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Faculty of Arts. Linguistics and Literature
Publication type
article
Publication
St. Louis, Mo. ,
Subject
Human medicine
Source (journal)
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
The annals of otology, rhinology and laryngology. - St. Louis, Mo., 1897, currens
Volume/pages
102(1993) :9 , p. 724-728
ISSN
0003-4894
ISI
A1993LY33700014
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Because of the important function of the embryologic stapedial artery, it is taken for granted by many surgeons that the finding of such a persistent artery in postnatal humans during middle ear surgery should urge maximal caution in order not to damage the artery. Often, discontinuation of the surgery is recommended. Yet this attitude is based on theoretic considerations rather than on any clinical evidence of complications following injury to this vessel. The present paper describes the embryology in relation to this specific aspect and reviews the literature on the persistent stapedial artery, emphasizing the papers dealing with injury to this vessel. In addition, we report 4 cases of persistent stapedial artery from the files of almost 20,000 patients in whom tympanotomy was performed. From all these data we conclude that injury to this artery or even complete section probably does not cause major, if any, postoperative sequelae, and that consequently, middle ear surgery is not necessarily hindered by the presence of this vessel.
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