Yoo JS, Lee CM, Yang YN, Lee EJ. Complete restoration of congenital conductive hearing loss by staged surgery: A case report. World J Clin Cases 2021; 9(33): 10286-10292 [PMID: 34904101 DOI: 10.12998/wjcc.v9.i33.10286]
Corresponding Author of This Article
Eun Jung Lee, MD, PhD, Associate Professor, Department of Otorhinolaryngology-Head and Neck Surgery, Jeonbuk National University College of Medicine, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, South Korea. imaima97@naver.com
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2021; 9(33): 10286-10292 Published online Nov 26, 2021. doi: 10.12998/wjcc.v9.i33.10286
Complete restoration of congenital conductive hearing loss by staged surgery: A case report
Ji Seob Yoo, Chan Mi Lee, Yun Na Yang, Eun Jung Lee
Ji Seob Yoo, Chan Mi Lee, Yun Na Yang, Eun Jung Lee, Department of Otorhinolaryngology-Head and Neck Surgery, Jeonbuk National University College of Medicine, Jeonju 54907, South Korea
Ji Seob Yoo, Chan Mi Lee, Yun Na Yang, Eun Jung Lee, Biomedical Research Institute, Clinical Medicine of Jeonbuk National University, Jeonbuk National University Hospital, Jeonju 54907, South Korea
Author contributions: Yoo JS conceived the report; Lee EJ and Yoo JS wrote the first draft with input from all authors; Lee CM and Yang YN carried out the literature search and provided the figures; Lee EJ and Yoo JS revised the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and any accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript has been prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Eun Jung Lee, MD, PhD, Associate Professor, Department of Otorhinolaryngology-Head and Neck Surgery, Jeonbuk National University College of Medicine, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, South Korea. imaima97@naver.com
Received: May 27, 2021 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
Abstract
BACKGROUND
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 restoration is achieved by dividing the stapedial tendon after exploratory tympanotomy.
CASE SUMMARY
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.
CONCLUSION
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.
