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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\u2009dB. 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.<\/jats:p>","DOI":"10.1155\/2015\/387642","type":"journal-article","created":{"date-parts":[[2015,1,5]],"date-time":"2015-01-05T21:43:13Z","timestamp":1420494193000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["A Rare Stapes Abnormality"],"prefix":"10.1155","volume":"2015","author":[{"given":"Hala","family":"Kanona","sequence":"first","affiliation":[{"name":"ENT Department, Queen\u2019s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagdeep Singh","family":"Virk","sequence":"additional","affiliation":[{"name":"ENT Department, Queen\u2019s Hospital, Barking, Havering and Redbridge University Hospitals NHS Trust, Rom Valley Way, Romford, Essex RM7 0AZ, 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