{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:55:14Z","timestamp":1760147714001,"version":"build-2065373602"},"reference-count":18,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background: The persistent stapedial artery (PSA) is a rare congenital vascular malformation involving the middle ear. It is usually associated with pulsatile tinnitus and\/or conductive hearing loss and can account for multiple risks during middle ear surgery. Case Report: we present a case of a 9-year-old male child with conductive hearing loss and persistent stapedial artery in his right ear, who was admitted to our ENT Department for hearing loss. During surgery, we discovered PSA along with congenital stapes agenesis and oval window atresia, as well as an abnormal trajectory of the mastoid segment of the facial nerve. After ossicular reconstruction (transcanal total ossicular replacement prosthesis) with cochleostomy, no surgical complications were recorded and hearing improvement was monitored by pre- and postoperative audiometry. Conclusion: Stapedial artery is a rare anatomical middle ear abnormality that can prevent proper surgical hearing restoration and can be associated with other simultaneous temporal bone malformations.<\/jats:p>","DOI":"10.3390\/medicina59030461","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T03:29:48Z","timestamp":1677468588000},"page":"461","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis\u2014Case Report"],"prefix":"10.3390","volume":"59","author":[{"given":"Dan Cristian","family":"Gheorghe","sequence":"first","affiliation":[{"name":"ENT Department, University of Medicine and Pharmacy Carol Davila Bucharest, 050474 Bucharest, Romania"},{"name":"ENT Department, MS Curie Hospital, 077120 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Epure","sequence":"additional","affiliation":[{"name":"ENT Department, University of Medicine and Pharmacy Carol Davila Bucharest, 050474 Bucharest, Romania"},{"name":"ENT Department, MS Curie Hospital, 077120 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doru","family":"Oprea","sequence":"additional","affiliation":[{"name":"ENT Department, MS Curie Hospital, 077120 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adina","family":"Zamfir-Chiru-Anton","sequence":"additional","affiliation":[{"name":"ENT Department, Grigore Alexandrescu Emergency Hospital for Children, 011743 Bucharest, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1288\/00005537-199403000-00012","article-title":"Prevalence of facial canal dehiscence and of persistent stapedial artery in the human middle ear: A report of 1000 temporal bones","volume":"104","author":"Moreano","year":"1994","journal-title":"Laryngoscope"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1177\/000348947208100619","article-title":"Theoretical anomalies of the stapedial artery","volume":"81","author":"Hogg","year":"1972","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_3","first-page":"572","article-title":"The persistent stapedial artery","volume":"21","author":"Silbergleit","year":"2000","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1017\/S002221510006758X","article-title":"Persistent stapedial artery: A temporal bone report","volume":"81","author":"Davies","year":"1967","journal-title":"J. Laryngol. Otol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s00276-011-0912-9","article-title":"A case of an aberrant internal carotid artery with a persistent stapedial artery: Association of hypoplasia of the A1 segment of the anterior cerebral artery","volume":"34","author":"Celebi","year":"2012","journal-title":"Surg. Radiol. Anat."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1097\/00129492-200309000-00025","article-title":"Persistent stapedial artery","volume":"24","author":"Cureoglu","year":"2003","journal-title":"Otol. Neurotol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/S1043-1810(98)80047-X","article-title":"Stapes surgery in the obscured oval window: Management of the ptotic facial nerve and the persistent stapedial artery","volume":"9","author":"Horn","year":"1998","journal-title":"Oper. Tech. Otolaryngol. Head Neck Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1097\/00129492-200409000-00033","article-title":"Combination of aberrant internal carotid artery and persistent stapedial artery","volume":"25","author":"Lau","year":"2004","journal-title":"Otol. Neurotol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1097\/MAO.ObO13e31817d8736","article-title":"Otosclerotic stapes with three crura and persisting stapedial artery","volume":"29","author":"Karosi","year":"2008","journal-title":"Otol. Neurotol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1016\/j.anl.2014.05.024","article-title":"Persistent stapedial artery with stapes ankylosis","volume":"41","author":"Sugimoto","year":"2014","journal-title":"Auris Nasus Larynx"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/014556131809700702","article-title":"Persistent stapedial artery with ankylosis of the stapes footplate","volume":"97","author":"Hill","year":"2018","journal-title":"Ear Nose Throat J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1177\/000348949310200914","article-title":"Persistent stapedial artery: Does it prevent successful surgery?","volume":"102","author":"Govaerts","year":"1993","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1177\/019459988509300304","article-title":"Persistence of the stapedial artery: A histopathologic study","volume":"93","author":"Marion","year":"1985","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1007\/BF01623146","article-title":"Complete persistence of the hyoido-stapedial artery in man. Case report. Intra-petrous origin of the maxillary artery from ICA","volume":"13","author":"Rodesch","year":"1991","journal-title":"Surg. Radiol. Anat."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"160","DOI":"10.3174\/ajnr.A6851","article-title":"The Many Faces of Persistent Stapedial Artery: CT Findings and Embryologic Explanations","volume":"42","author":"LoVerde","year":"2021","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_16","first-page":"1551","article-title":"Persistent stapedial artery: CT findings","volume":"21","author":"Thiers","year":"2000","journal-title":"AJNR Am. J. Neuroradiol."},{"key":"ref_17","first-page":"8179062","article-title":"Persistent Stapedial Artery Encountered during Cochlear Implantation","volume":"2022","author":"Jones","year":"2022","journal-title":"Case Rep. Otolaryngol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1097\/MAO.0000000000001466","article-title":"Surgical Management of a Persistent Stapedial Artery: A Review","volume":"38","author":"Goderie","year":"2017","journal-title":"Otol. Neurotol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/3\/461\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:42:35Z","timestamp":1760121755000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/3\/461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,25]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["medicina59030461"],"URL":"https:\/\/doi.org\/10.3390\/medicina59030461","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2023,2,25]]}}}