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粘连性中耳炎中的永存镫骨动脉：一例报告

Persistent Stapedial Artery in Adhesive Otitis Media: A Case Report.

作者信息

AlOtaibi Norah S, AlOtaibi Sarah S, AlAbdulkareem Abdulaziz M, AlOsaimi Naif K, AlFadhel Faisal A, AlTamimi Fahad N

机构信息

College of Medicine, Alfaisal University, Riyadh, SAU.

Department of Otolaryngology, Head and Neck Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

出版信息

Cureus. 2024 Aug 15;16(8):e66922. doi: 10.7759/cureus.66922. eCollection 2024 Aug.

DOI:10.7759/cureus.66922
PMID:39280516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11401454/
Abstract

A persistent stapedial artery (PSA) is a rare embryologic remnant that typically involutes at week 10 of embryogenesis. However, if it is persistent, it may lead to conductive hearing loss and pulsatile tinnitus. It is of utmost importance to identify such an anomaly, as it leads to serious complications intraoperatively if overlooked. Proper clinical and radiological assessment helps an otologist recognize the PSA. We describe the case of a 24-year-old female presenting with a chronically discharging ear in addition to pulsatile tinnitus and conductive hearing loss with an incidental finding of a PSA upon otoscopy.

摘要

永存镫骨动脉（PSA）是一种罕见的胚胎残余物，通常在胚胎发育第10周时退化。然而，如果它持续存在，可能会导致传导性听力损失和搏动性耳鸣。识别这种异常至关重要，因为如果术中忽视，可能会导致严重并发症。恰当的临床和影像学评估有助于耳科医生识别永存镫骨动脉。我们描述了一名24岁女性的病例，该患者除搏动性耳鸣和传导性听力损失外，还有慢性耳流脓，耳镜检查时偶然发现永存镫骨动脉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/26d7d742ad8a/cureus-0016-00000066922-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/5b71fe834f80/cureus-0016-00000066922-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/6042785aa96b/cureus-0016-00000066922-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/c1361ac7a80b/cureus-0016-00000066922-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/f2f2ba7fb2d1/cureus-0016-00000066922-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/30661917a609/cureus-0016-00000066922-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/00bf192522ba/cureus-0016-00000066922-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/26d7d742ad8a/cureus-0016-00000066922-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/5b71fe834f80/cureus-0016-00000066922-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/6042785aa96b/cureus-0016-00000066922-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/c1361ac7a80b/cureus-0016-00000066922-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/f2f2ba7fb2d1/cureus-0016-00000066922-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/30661917a609/cureus-0016-00000066922-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/00bf192522ba/cureus-0016-00000066922-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/376a/11401454/26d7d742ad8a/cureus-0016-00000066922-i07.jpg

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本文引用的文献

1
Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis-Case Report.镫骨动脉永存、卵圆窗闭锁和先天性镫骨发育不全-病例报告。
Medicina (Kaunas). 2023 Feb 25;59(3):461. doi: 10.3390/medicina59030461.
2
Clinical characteristics of atelectatic eardrums and adhesive otitis media in children.儿童萎陷性鼓膜和粘连性中耳炎的临床特征。
Int J Pediatr Otorhinolaryngol. 2022 Aug;159:111188. doi: 10.1016/j.ijporl.2022.111188. Epub 2022 May 26.
3
Comparative study on adhesive otitis media and pars tensa cholesteatoma in children.
儿童黏连性中耳炎与鼓膜紧张部胆脂瘤的对比研究。
Auris Nasus Larynx. 2022 Oct;49(5):790-796. doi: 10.1016/j.anl.2022.02.007. Epub 2022 Mar 2.
4
Immunoglobulins and Transcription Factors in Otitis Media.中耳炎中的免疫球蛋白和转录因子。
Int J Mol Sci. 2021 Mar 21;22(6):3201. doi: 10.3390/ijms22063201.
5
The Many Faces of Persistent Stapedial Artery: CT Findings and Embryologic Explanations.镫骨动脉永存的多面性：CT 表现及胚胎学解释。
AJNR Am J Neuroradiol. 2021 Jan;42(1):160-166. doi: 10.3174/ajnr.A6851. Epub 2020 Nov 5.
6
Stapedial Artery: From Embryology to Different Possible Adult Configurations.镫骨动脉：从胚胎学到不同可能的成人形态。
AJNR Am J Neuroradiol. 2020 Oct;41(10):1768-1776. doi: 10.3174/ajnr.A6738. Epub 2020 Sep 3.
7
Persistent stapedial artery with ankylosis of the stapes footplate.镫骨足板固定伴永存镫骨动脉。
Ear Nose Throat J. 2018 Aug;97(8):227-228. doi: 10.1177/014556131809700817.
8
Persistent stapedial artery: CT findings.永存镫骨动脉：CT表现
AJNR Am J Neuroradiol. 2000 Sep;21(8):1551-4.
9
The persistent stapedial artery.永存镫骨动脉。
AJNR Am J Neuroradiol. 2000 Mar;21(3):572-7.
10
Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: a report of 1000 temporal bones.人类中耳面神经管裂和镫骨动脉残留的患病率：1000例颞骨报告
Laryngoscope. 1994 Mar;104(3 Pt 1):309-20. doi: 10.1288/00005537-199403000-00012.