Kharwanlang Mebarimon, Parida Pradipta K, Sharma Prity
Otorhinolaryngology - Head and Neck Surgery, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.
Cureus. 2025 Mar 25;17(3):e81196. doi: 10.7759/cureus.81196. eCollection 2025 Mar.
This report describes a rare medical case of a 16-year-old girl with progressive bilateral hearing loss over nine years. Despite normal external ear anatomy, tests revealed moderate conductive hearing loss. Surgery uncovered an unusual persistent stapedial artery and ossified stapedial tendon with an overhang of the facial nerve over the oval window obscuring it and preventing the planned stapedotomy. Post-surgery, the patient had mild earache but no serious complications and was treated with antibiotics and steroids. She is scheduled for a hearing aid trial. This is the first known report of this exact triad occurring together, posing significant surgical implications. The case underscores the need for detailed preoperative imaging and careful surgical techniques to manage anatomical variations and improve outcomes in middle ear surgeries.
本报告描述了一例罕见的医学病例，一名16岁女孩在九年时间里出现进行性双侧听力损失。尽管外耳道解剖结构正常，但检查显示为中度传导性听力损失。手术发现一条异常的镫骨动脉持续存在且镫骨肌腱骨化，面神经在椭圆窗上方形成悬垂，遮挡了椭圆窗，导致无法按计划进行镫骨切除术。术后，患者出现轻度耳痛，但无严重并发症，接受了抗生素和类固醇治疗。她计划进行助听器试用。这是已知的首次关于这三种情况同时出现的报告，具有重大的手术意义。该病例强调了术前进行详细影像学检查以及采用精细手术技术来处理解剖变异并改善中耳手术效果的必要性。
