Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10286
Peer-review started: May 27, 2021
First decision: July 15, 2021
Revised: July 15, 2021
Accepted: October 14, 2021
Article in press: October 14, 2021
Published online: November 26, 2021
Processing time: 179 Days and 3.8 Hours
Stapedial tendon ossification is a rare disease, with only a few reports. The stapedial tendon originates from the apex of the pyramidal eminence and is attached to the neck of the stapes. In stapedial tendon ossification, the stapes is fixed, causing conductive hearing loss. In most cases, complete hearing rest
A 28-year-old woman presented to our hospital with the major complaint of bilateral hearing loss that started during childhood. Exploratory tympanotomy was performed due to suspicion of otosclerosis or middle ear anomalies. We found bilateral conductive hearing loss due to stapedial tendon ossification with a middle ear anomaly during surgery. There have been several reports of complete recovery of hearing after resection of the stapedial tendon. However, in this case, recovery of hearing was insufficient, even with the division of the stapedial tendon. In the second surgery, the stapes anomaly and footplate fixation were confirmed, and hearing was completely recovered after stapedotomy. Therefore, we report this case with a review of the relevant literature.
This is the first case of stapedial tendon ossification and fixation of the footplate surgically diagnosed on both sides. With surgical treatment, successful results are expected.
Core Tip: To date, only a few papers have reported stapedial tendon ossification. Hearing is completely restored by dividing the stapedial tendon. However, as in our case, when hearing improvement after surgery is insufficient, the possibility of accompanying malformations should be suspected, and secondary surgery should be considered. Successful results can be obtained when the comorbid anomaly is resolved.