CT of a patient with conductive hearing loss showed a small vascular struct
ure leaving the carotid canal and passing through the stapes to join the fa
cial nerve canal. The small bony channel paralleled the anterior tympanic s
egment of the facial nerve, continuing beyond the geniculate ganglion into
the middle cranial fossa. Otoendoscopic photography documented the presence
of a persistent stapedial artery.