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Stapes

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

One of the three ossicles of the middle ear.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (700 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

One of the three ossicles of the middle ear. It transmits sound vibrations from the incus to the internal ear (Ear, Internal see labyrinth).

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Where it fits in the MeSH classification

Broader topics
Ear Ossicles

Related concepts

  • Incus
  • Labyrinth

Research landscape

PubMed indexes 1,776 records tagged with the MeSH heading “Stapes” (counts retrieved 2026-10-31). 224 of them (12.6%) were published from 2020 onward, and the busiest period so far is through 1999 with 877 records.

Reviews account for 69 records (3.9%) and meta-analyses for 8. Randomized controlled trials number 5 (0.3%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 877 records; 2000-2009: 310 records; 2010-2019: 365 records; 2020 onward: 224 records877through 19993102000-20093652010-20192242020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 1999877
2000-2009310
2010-2019365
2020 onward224
Share of records by publication typeReviews: 3.9 percent; Meta-analyses: 0.5 percent; Randomized controlled trials: 0.3 percentReviews3.9% (69)Meta-analyses0.5% (8)Randomized controlled trials0.3% (5)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 1,776 PubMed records
TypeRecordsShare
Reviews693.9%
Meta-analyses80.5%
Randomized controlled trials50.3%

Method: PubMed query "Stapes"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
In situ motions of individual inner-hair-cell stereocilia from stapes stimulation in adult mice
Wang Y, Steele CR, Puria S, Ricci AJ
2021Research article
Design not recorded in structured metadata
21cc by
PMID 34381157 · DOI · PMC8357788
The Stapes of Gomphodont Cynodonts: Insights into the Middle Ear Structure of Non-Mammaliaform Cynodonts
Gaetano LC, Abdala F
2015Research article
Design not recorded in structured metadata
9cc by
PMID 26176619 · DOI · PMC4503721
Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis-Case Report
Gheorghe DC, Epure V, Oprea D, Zamfir-Chiru-Anton A
2023Research article
Design not recorded in structured metadata
8cc by
PMID 36984462 · DOI · PMC10059694
The quantitative and qualitative histomorphological structure of human stapes footplate
Kemper M, Türkeli E, Kluge A, Günther SI, Zahnert T, Neudert M
2026Research article
Design not recorded in structured metadata
0cc by
PMID 41857134 · DOI · PMC13004908

In situ motions of individual inner-hair-cell stereocilia from stapes stimulation in adult mice [1]

Research article Wang Y, Steele CR, Puria S, Ricci AJ · · 2021 · cited 21 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
In vertebrate hearing organs, mechanical vibrations are converted to ionic currents through mechanoelectrical-transduction (MET) channels.
Closing excerpt
We have found that the OoC rotates about the base of the inner pillar cell, the hair bundle rotates about its base and lags behind the motion of the apical surface of the cell, and the individual stereocilia move semi-independently within a given hair bundle.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (148 words)

In vertebrate hearing organs, mechanical vibrations are converted to ionic currents through mechanoelectrical-transduction (MET) channels. Concerted stereocilia motion produces an ensemble MET current driving the hair-cell receptor potential. Mammalian cochleae are unique in that the tuning of sensory cells is determined by their mechanical environment and the mode of hair-bundle stimulation that their environment creates. However, little is known about the in situ intra-hair-bundle motions of stereocilia relative to one another, or to their environment. In this study, high-speed imaging allowed the stereocilium and cell-body motions of inner hair cells to be monitored in an ex vivo organ of Corti (OoC) mouse preparation. We have found that the OoC rotates about the base of the inner pillar cell, the hair bundle rotates about its base and lags behind the motion of the apical surface of the cell, and the individual stereocilia move semi-independently within a given hair bundle.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 34381157 · DOI · PMC8357788

The Stapes of Gomphodont Cynodonts: Insights into the Middle Ear Structure of Non-Mammaliaform Cynodonts [2]

Research article Gaetano LC, Abdala F · · 2015 · cited 9 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The stapes is known in several non-mammaliaform cynodonts, although it has only been cursorily studied.
Closing excerpt
Our analysis results in a better understanding of the auditory system in basal cynodonts and its evolution, highlighting the variability of the stapedial anatomy.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

The stapes is known in several non-mammaliaform cynodonts, although it has only been cursorily studied. Here we thoroughly analyze the stapedial anatomy of several basal cynodonts in a phylogenetic framework. Our study shows that the stapedial anatomy is more variable than previously thought. The morphological variation of the stapes led to the recognition of 11 phylogenetic characters that were included in a total evidence data matrix centered in the analysis of gomphodont cynodonts. Stapes morphology does not provide evidence to suggest a direct connection between the stapes and a postquadrate tympanic membrane (if present) and the hypothesis of a dorsal process as the site of attachment of a small ligament or the stapedial muscle is supported. The re-evaluation of the theories concerning the position of the tympanic membrane in non-mammaliaform cynodonts allowed us to conclude that the hypothetical postquadrate tympanic membrane associated with the squamosal sulcus is at best relictual and most likely non-functional (not connected with the stapes). The sound waves were most likely transmitted to the stapes from a postdentary tympanic membrane through the quadrate. Our analysis results in a better understanding of the auditory system in basal cynodonts and its evolution, highlighting the variability of the stapedial anatomy.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 26176619 · DOI · PMC4503721

Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis-Case Report [3]

Research article Gheorghe DC, Epure V, Oprea D, Zamfir-Chiru-Anton A · · 2023 · cited 8 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Background: The persistent stapedial artery (PSA) is a rare congenital vascular malformation involving the middle ear.
Closing excerpt
Conclusion: Stapedial artery is a rare anatomical middle ear abnormality that can prevent proper surgical hearing restoration and can be associated with other simultaneous temporal bone malformations.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (150 words)

Background: The persistent stapedial artery (PSA) is a rare congenital vascular malformation involving the middle ear. It is usually associated with pulsatile tinnitus and/or conductive hearing loss and can account for multiple risks during middle ear surgery. Case Report: we present a case of a 9-year-old male child with conductive hearing loss and persistent stapedial artery in his right ear, who was admitted to our ENT Department for hearing loss. During surgery, we discovered PSA along with congenital stapes agenesis and oval window atresia, as well as an abnormal trajectory of the mastoid segment of the facial nerve. After ossicular reconstruction (transcanal total ossicular replacement prosthesis) with cochleostomy, no surgical complications were recorded and hearing improvement was monitored by pre- and postoperative audiometry. Conclusion: Stapedial artery is a rare anatomical middle ear abnormality that can prevent proper surgical hearing restoration and can be associated with other simultaneous temporal bone malformations.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 36984462 · DOI · PMC10059694

The quantitative and qualitative histomorphological structure of human stapes footplate [4]

Research article Kemper M, Türkeli E, Kluge A, Günther SI, Zahnert T, Neudert M · · 2026

Abstract reading summary — source excerpts
Opening excerpt
This study analyzes the histomorphology of human stapes footplates, focusing on the footplate (FP), to enhance reconstructive otosurgery.
Closing excerpt
The findings provide critical insights into prosthetic coupling sites and support the development of optimized reconstructive strategies in middle ear surgery.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (201 words)

This study analyzes the histomorphology of human stapes footplates, focusing on the footplate (FP), to enhance reconstructive otosurgery. Seven human stapes specimens obtained during pathological dissections were histologically processed. Tissue layer thicknesses (bone and cartilage) were measured at five points in longitudinal sections and three points in cross sections. Additional analyses of surrounding tissue area up to 100 μm from each point were conducted. A total of 1400 individual measurements were included in the analysis of the human FP, comprising 350 measurements each for cartilage and bone layer thickness, as well as the determined cartilage and bone areas. The FP consisted of a flat epithelial layer, a bone layer facing the tympanic cavity, and a cartilage layer. The central total thickness was 118.06 μm, increasing by 36% toward the periphery. Bone composition was 40% centrally and larger peripherally at 56%. Cross sections showed more homogeneous distribution, with a total thickness of 73.44 μm and 42% bone. This first detailed qualitative and quantitative topographical tissue analysis of the FP confirms a bilayered bone-cartilage structure with increasing bone thickness toward the periphery. The findings provide critical insights into prosthetic coupling sites and support the development of optimized reconstructive strategies in middle ear surgery.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41857134 · DOI · PMC13004908

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Hyperacusis: review and clinical guidelines [5]
    Katzenell U, Segal S · Otol Neurotol · 2001 · cited 86 times (Europe PMC)
  • Research article Imaging of the windows of the temporal bone [6]
    Veillon F, Riehm S, Emachescu B, Haba D, Roedlich MN, Greget M, et al. · Semin Ultrasound CT MR · 2001 · cited 45 times (Europe PMC)
  • Research article Persistent stapedial arteries in human: from phylogeny to surgical consequences [7]
    Hitier M, Zhang M, Labrousse M, Barbier C, Patron V, Moreau S · Surg Radiol Anat · 2013 · cited 34 times (Europe PMC)
  • Research article Isolated congenital stapes ankylosis: surgical results in 32 ears and a review of the literature [8]
    Teunissen B, Cremers WR, Huygen PL, Pouwels TP · Laryngoscope · 1990 · cited 29 times (Europe PMC)
  • Research article The incudostapedial joint angle: implications for stapes surgery prosthesis selection and crimping [9]
    Skinner M, Honrado C, Prasad M, Kent HN, Selesnick SH · Laryngoscope · 2003 · cited 28 times (Europe PMC)
  • Research article Further clinical and sensorial delineation of Schinzel-Giedion syndrome: report of two cases [10]
    Minn D, Christmann D, De Saint-Martin A, Alembik Y, Eliot M, Mack G, et al. · Am J Med Genet · 2002 · cited 27 times (Europe PMC)

References

  1. Wang Y, Steele CR, Puria S, Ricci AJ. In situ motions of individual inner-hair-cell stereocilia from stapes stimulation in adult mice. . 2021. PMID 34381157 · DOI · PMC8357788
  2. Gaetano LC, Abdala F. The Stapes of Gomphodont Cynodonts: Insights into the Middle Ear Structure of Non-Mammaliaform Cynodonts. . 2015. PMID 26176619 · DOI · PMC4503721
  3. Gheorghe DC, Epure V, Oprea D, Zamfir-Chiru-Anton A. Persistent Stapedial Artery, Oval Window Atresia and Congenital Stapes Agenesis-Case Report. . 2023. PMID 36984462 · DOI · PMC10059694
  4. Kemper M, Türkeli E, Kluge A, Günther SI, Zahnert T, Neudert M. The quantitative and qualitative histomorphological structure of human stapes footplate. . 2026. PMID 41857134 · DOI · PMC13004908
  5. Katzenell U, Segal S. Hyperacusis: review and clinical guidelines. Otol Neurotol. 2001. PMID 11347634 · DOI
  6. Veillon F, Riehm S, Emachescu B, Haba D, Roedlich MN, Greget M, et al.. Imaging of the windows of the temporal bone. Semin Ultrasound CT MR. 2001. PMID 11451100 · DOI
  7. Hitier M, Zhang M, Labrousse M, Barbier C, Patron V, Moreau S. Persistent stapedial arteries in human: from phylogeny to surgical consequences. Surg Radiol Anat. 2013. PMID 23640742 · DOI
  8. Teunissen B, Cremers WR, Huygen PL, Pouwels TP. Isolated congenital stapes ankylosis: surgical results in 32 ears and a review of the literature. Laryngoscope. 1990. PMID 2243529 · DOI
  9. Skinner M, Honrado C, Prasad M, Kent HN, Selesnick SH. The incudostapedial joint angle: implications for stapes surgery prosthesis selection and crimping. Laryngoscope. 2003. PMID 12671422 · DOI
  10. Minn D, Christmann D, De Saint-Martin A, Alembik Y, Eliot M, Mack G, et al.. Further clinical and sensorial delineation of Schinzel-Giedion syndrome: report of two cases. Am J Med Genet. 2002. PMID 11977181 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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At a glance

1,776
PubMed records on this heading
13%
published since 2020
69
review articles
5
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

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