Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications

Congenital middle ear malformations are rare. Most part of them are usually associated with other malformations, such as aural atresia, microtia, and dysmorphic craniofacial features. A clinical case of a 24-year-old male with a right-sided conductive hearing loss since his childhood, without cranio...

Full description

Saved in:
Bibliographic Details
Main Authors: Vânia Henriques, Rafaela Teles, Ana Sousa, Roberto Estevão, Jorge Rodrigues, Alexandra Gomes, Francisco Silva, Ângelo Fernandes, Fausto Fernandes
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2016/2598962
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832545639242661888
author Vânia Henriques
Rafaela Teles
Ana Sousa
Roberto Estevão
Jorge Rodrigues
Alexandra Gomes
Francisco Silva
Ângelo Fernandes
Fausto Fernandes
author_facet Vânia Henriques
Rafaela Teles
Ana Sousa
Roberto Estevão
Jorge Rodrigues
Alexandra Gomes
Francisco Silva
Ângelo Fernandes
Fausto Fernandes
author_sort Vânia Henriques
collection DOAJ
description Congenital middle ear malformations are rare. Most part of them are usually associated with other malformations, such as aural atresia, microtia, and dysmorphic craniofacial features. A clinical case of a 24-year-old male with a right-sided conductive hearing loss since his childhood, without craniofacial malformation, is presented. He was proposed for exploratory tympanotomy under the suspicious diagnosis of otosclerosis. The surgery revealed an abnormal location of stapes’ superstructure, which was attached to the promontory and had an isolated and mobile osseous footplate in the oval window. A stapes prosthesis was inserted and resulted in closure of the air-bone gap by 25 dB. A review of the literature was also performed using MEDLINE. Two theories diverge on the embryologic origin of the stapes. Our findings seem to be in favour of the theory that defines two different embryologic origins to the stapes.
format Article
id doaj-art-40c7839d2e274fb082af44137a500e77
institution Kabale University
issn 2090-6765
2090-6773
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-40c7839d2e274fb082af44137a500e772025-02-03T07:25:09ZengWileyCase Reports in Otolaryngology2090-67652090-67732016-01-01201610.1155/2016/25989622598962Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological ImplicationsVânia Henriques0Rafaela Teles1Ana Sousa2Roberto Estevão3Jorge Rodrigues4Alexandra Gomes5Francisco Silva6Ângelo Fernandes7Fausto Fernandes8Otorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalOtorhinolaryngology Department, Hospital de Guimarães, Rua dos Cutileiros, 4835-044 Guimarães, PortugalCongenital middle ear malformations are rare. Most part of them are usually associated with other malformations, such as aural atresia, microtia, and dysmorphic craniofacial features. A clinical case of a 24-year-old male with a right-sided conductive hearing loss since his childhood, without craniofacial malformation, is presented. He was proposed for exploratory tympanotomy under the suspicious diagnosis of otosclerosis. The surgery revealed an abnormal location of stapes’ superstructure, which was attached to the promontory and had an isolated and mobile osseous footplate in the oval window. A stapes prosthesis was inserted and resulted in closure of the air-bone gap by 25 dB. A review of the literature was also performed using MEDLINE. Two theories diverge on the embryologic origin of the stapes. Our findings seem to be in favour of the theory that defines two different embryologic origins to the stapes.http://dx.doi.org/10.1155/2016/2598962
spellingShingle Vânia Henriques
Rafaela Teles
Ana Sousa
Roberto Estevão
Jorge Rodrigues
Alexandra Gomes
Francisco Silva
Ângelo Fernandes
Fausto Fernandes
Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
Case Reports in Otolaryngology
title Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
title_full Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
title_fullStr Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
title_full_unstemmed Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
title_short Abnormal Congenital Location of Stapes’ Superstructure: Clinical and Embryological Implications
title_sort abnormal congenital location of stapes superstructure clinical and embryological implications
url http://dx.doi.org/10.1155/2016/2598962
work_keys_str_mv AT vaniahenriques abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT rafaelateles abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT anasousa abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT robertoestevao abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT jorgerodrigues abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT alexandragomes abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT franciscosilva abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT angelofernandes abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications
AT faustofernandes abnormalcongenitallocationofstapessuperstructureclinicalandembryologicalimplications