{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T22:43:42Z","timestamp":1772491422878,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T00:00:00Z","timestamp":1511481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To evaluate the influence of the diameter of stapes prosthesis on functional outcomes in stapes surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifty consecutive small fenestra stapedotomies performed using a 0.4\u2010mm\u2010diameter prosthesis were compared with 50 consecutive small fenestra stapedotomies carried out using a 0.6\u2010mm\u2010diameter piston. Audiological assessment following the recommendations of the Committee on Hearing and Equilibrium was performed 1 month after surgery. Postoperative complications between the two groups were noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no statistically significant differences in demographic data between the two groups, and no differences in preoperative bone\u2010conduction (BC) or air\u2010conduction (AC) hearing thresholds for all frequencies (analysis of variance [ANOVA] and \u03c7<jats:sup>2<\/jats:sup> tests). No differences were found in the mean preoperative BC and AC pure\u2010tone average and air\u2010bone gap (ABG). In the postoperative evaluation, a statistically significant difference was found for the mean AC gain (20 \u00b1 8.7 vs. 24 \u00b1 11.5, <jats:italic>P<\/jats:italic> = .042, ANOVA) as well as for the postoperative AC threshold at 0.125 and 0.25 kHz and the postoperative BC threshold at 0.25 kHz (<jats:italic>P<\/jats:italic> &lt; .01, ANOVA). A postoperative ABG \u226410 dB was obtained in 90% and 94% of patients in the 0.4\u2010mm\u2010 and 0.6\u2010mm\u2010diameter piston groups, respectively (difference not significant, \u03c7<jats:sup>2<\/jats:sup> test). No postoperative dead ear and\/or sensorineural hearing loss was noted in either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The 0.6\u2010mm piston allowed a statistically significant higher AC gain compared with the 0.4\u2010mm diameter piston. A larger diameter piston may be preferable if there are no anatomical or technical reasons that would favor a smaller prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2b <jats:italic>Laryngoscope<\/jats:italic>, 1922\u20131926, 2018<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27021","type":"journal-article","created":{"date-parts":[[2017,11,24]],"date-time":"2017-11-24T12:45:05Z","timestamp":1511527505000},"page":"1922-1926","source":"Crossref","is-referenced-by-count":15,"title":["Does the diameter of the stapes prosthesis really matter? A prospective clinical study"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5937-8847","authenticated-orcid":false,"given":"Daniele","family":"Bernardeschi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniele","family":"De Seta","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppina","family":"Canu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca Yoshie","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evelyne","family":"Ferrary","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ghizlene","family":"Lahlou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Sterkers","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Unit of Otology, Auditory implants and Skull base surgery, Public Assistance\u2010Paris Hospital Piti\u00e9\u2010Salp\u00eatri\u00e8re Group Hospital Paris France"},{"name":"Minimally Invasive Surgical Robotic Rehabilitation of Hearing, French Institute of Health and Medical Research Mixed Unit of Research\u2010S 1159 Paris 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