A Rare Stapes Abnormality

Figure 1

Intraoperative microscopic view of middle ear (a). Following tympanotomy, note lack of connection between stapes superstructure and footplate alongside absence of stapedius tendon (b). Following dislocation of incudostapedial joint (c). Following laser stapedotomy (d). Following placement of prosthesis and crimping by KTP laser.

(a)

(b)

(c)

(d)