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A Case of Stapes Anomaly and Its Reconstruction

Masayoshi Tachibana, MD; Akinori Hoshino, MD; Wataru Oshima, MD; Hideo Nishimura, MD; Osamu Mizukoshi, MD

Arch Otolaryngol. 1984;110(11):761-762.

Abstract
• Duane's syndrome is a congenital eye movement disorder characterized by marked limitation or absence of abduction, variable limitation of adduction, and narrowing of the palpebral fissure with retraction of the globe on attempted adduction. We treated a patient with bilateral Duane's syndrome associated with crocodile tear and external, middle, and inner ear anomalies. Exploratory tympanotomy showed an absence of the oval window and a rudimentary superior structure of the stapes that was connected to the abbreviated incudal lenticular process with connective tissue. A small hole was drilled into the vestibulum and the ossicular chain was reconstructed by inserting a Teflon wire piston to minimize the airbone gap. Pertinent literature is reviewed, and the pathogenesis of Duane's syndrome and the aspect of concomitant anomalies are discussed.

(Arch Otolaryngol 1984;110:761-762)

Author Affiliations
From the Department of Otolaryngology, Kyoto (Japan) Prefectural University of Medicine.

Footnotes
Accepted for publication June 5, 1984.

Reprint requests to the Department of Otolaryngology, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, 602 Kamikyo-ku, Kyoto, Japan (Dr Tachibana).

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