title: A rare stapes abnormality.
abstract: The aim of this study is to increase awareness of rare presentations, diagnostic difficulties alongside management of conductive hearing loss and ossicular abnormalities. We report the case of a 13-year-old female reporting progressive left-sided hearing loss and high resolution computed tomography was initially reported as normal. Exploratory tympanotomy revealed an absent stapedius tendon and lack of connection between the stapes superstructure and footplate. The footplate was fixed. Stapedotomy and stapes prosthesis insertion resulted in closure of the air-bone gap by 50 dB. A review of world literature was performed using MedLine. Middle ear ossicular discontinuity can result in significant conductive hearing loss. This can be managed effectively with surgery to help restore hearing. However, some patients may not be suitable or decline surgical intervention and can be managed safely conservatively.
authors: ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UK.
authors: Hala
authors: H
authors: Kanona
authors: ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UK.
authors: Jagdeep Singh
authors: JS
authors: Virk
authors: ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UK.
authors: Gaurav
authors: G
authors: Kumar
authors: Radiology Department, Queen's Hospital, Essex RM7 0AG, UK.
authors: Sanjiv
authors: S
authors: Chawda
authors: ENT Department, Queen's Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UK.
authors: Sherif
authors: S
authors: Khalil
references: Acta Otorrinolaringol Esp. 2005 Dec;56(10):488-90
references: 16425645
references: Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010 Nov;24(22):1016-8
references: 21322925
references: Otol Neurotol. 2009 Dec;30(8):1230-1
references: 19887985
references: Ann Otol Rhinol Laryngol. 1980 Jul-Aug;89(4 Pt 1):348-52
references: 7416685
references: Adv Otorhinolaryngol. 1988;40:33-7
references: 3260444
references: Acta Med Okayama. 1978 Jun;32(2):109-17
references: 150197
references: Laryngoscope. 1990 Jan;100(1):37-40
references: 2094227
references: Ann Otol Rhinol Laryngol. 1946 Sep;55:467-94
references: 21002055
references: Arch Otolaryngol. 1948 Sep;48(3):263-300
references: 18118915
references: Otol Neurotol. 2013 Oct;34(8):1417-20
references: 24026024
references: AJNR Am J Neuroradiol. 2000 Jan;21(1):171-4
references: 10669245
references: Auris Nasus Larynx. 2011 Feb;38(1):114-8
references: 20727699
references: Kulak Burun Bogaz Ihtis Derg. 2003 Dec;11(6):175-8
references: 15567932
references: Eur Arch Otorhinolaryngol. 2006 Jan;263(1):79-85
references: 16283197
references: Otol Neurotol. 2013 Sep;34(7):e55-60
references: 23921926
references: AJNR Am J Neuroradiol. 2000 Feb;21(2):322-7
references: 10696017
references: Acta Otolaryngol. 2009 Apr;129(4):419-22
references: 19116789
references: Am J Otolaryngol. 2011 Nov-Dec;32(6):477-84
references: 21146256
references: Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999 Oct;34(5):293-5
references: 12764828
references: Indian J Otolaryngol Head Neck Surg. 1997 Apr;49(2):130-1
references: 23119276
references: J Laryngol Otol. 1990 Jul;104(7):560-1
references: 2384713
references: Ann Otol Rhinol Laryngol. 1993 Aug;102(8 Pt 1):606-12
references: 8352484