{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:36:08Z","timestamp":1777426568822,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T00:00:00Z","timestamp":1511222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>\n                      (1) Discuss the presentation and management of persistent stapedial artery (PSA) discovered incidentally during cholesteatoma surgery. (2) Review use of carbon dioxide (CO\n                      <jats:sub>2<\/jats:sub>\n                      ) laser for treatment of PSA in the setting of chronic ear disease.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients:<\/jats:title>\n                    <jats:p>Two consecutive patients with PSA and primary acquired cholesteatoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention(s):<\/jats:title>\n                    <jats:p>Tympanomastoidectomy using a canal wall reconstruction technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure(s):<\/jats:title>\n                    <jats:p>Surgical healing, collateral damage to surrounding anatomy, and postoperative hearing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Persistent stapedial artery was detected incidentally in 2 patients, manifesting with heavy pulsatile bleeding arising during dissection of mesotympanic cholesteatoma. Preoperative computed tomography scans demonstrated absent foramen spinosum but no other aberrant vascular anatomy. Using CO\n                      <jats:sub>2<\/jats:sub>\n                      laser, the PSAs were ablated and controlled, allowing complete resection of cholesteatoma and successful completion of the procedure. In both patients, surrounding anatomical structures suffered no iatrogenic injury. Postoperatively, no significant complications occurred. To date, neither patient has demonstrated evidence of recidivistic cholesteatoma.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>\n                      A CO\n                      <jats:sub>2<\/jats:sub>\n                      laser can be useful for managing a PSA in the setting of chronic ear disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489417742921","type":"journal-article","created":{"date-parts":[[2017,11,21]],"date-time":"2017-11-21T05:27:42Z","timestamp":1511242062000},"page":"59-63","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Two Consecutive Cases of Persistent Stapedial Artery Managed With a Carbon Dioxide Laser"],"prefix":"10.1177","volume":"127","author":[{"given":"Shawn M.","family":"Stevens","sequence":"first","affiliation":[{"name":"Arizona Otolaryngology Consultants and Barrow Neurologic Institute, Phoenix, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoe A.","family":"Walters","sequence":"additional","affiliation":[{"name":"University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem","family":"Tawfik","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravi N.","family":"Samy","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, University of Cincinnati College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA"},{"name":"Neurosensory Disorders Center at University of Cincinnati Neuroscience Institute, Cincinnati, Ohio, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,11,21]]},"reference":[{"key":"bibr1-0003489417742921","first-page":"47","volume":"14","author":"Congdon E.","year":"1922","journal-title":"Contrib Embryol"},{"key":"bibr2-0003489417742921","first-page":"205","volume":"32","author":"Padget DH.","year":"1948","journal-title":"Contrib Embryol"},{"key":"bibr3-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196802000-00001"},{"key":"bibr4-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200914"},{"key":"bibr5-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510006758X"},{"issue":"1","key":"bibr6-0003489417742921","first-page":"45","volume":"1","author":"Dilenge D","year":"1980","journal-title":"AJNR"},{"key":"bibr7-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100119206"},{"issue":"8","key":"bibr8-0003489417742921","first-page":"1551","volume":"21","author":"Thiers FA","year":"2000","journal-title":"AJNR"},{"key":"bibr9-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-013-1127-z"},{"issue":"2","key":"bibr10-0003489417742921","first-page":"147","volume":"1","author":"Murphy MP","year":"1995","journal-title":"Int Tinn J"},{"key":"bibr11-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(84)80029-0"},{"key":"bibr12-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorl.2009.08.001"},{"key":"bibr13-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181662ce9"},{"issue":"3","key":"bibr14-0003489417742921","first-page":"572","volume":"21","author":"Silbergleit R","year":"2000","journal-title":"AJNR"},{"issue":"4","key":"bibr15-0003489417742921","first-page":"762","volume":"24","author":"Roll JD","year":"2003","journal-title":"AJNR"},{"key":"bibr16-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1958.00730010684005"},{"key":"bibr17-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1148\/105.2.365"},{"key":"bibr18-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(98)80047-X"},{"key":"bibr19-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800216"},{"key":"bibr20-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200005000-00015"},{"key":"bibr21-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1111\/bju.12498"},{"key":"bibr22-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000187572.99335.cc"},{"key":"bibr23-0003489417742921","doi-asserted-by":"publisher","DOI":"10.1177\/014556139607501208"},{"key":"bibr24-0003489417742921","volume-title":"Chapter 25: The Avoidance and Management of Complications of Otosclerosis Surgery. 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