{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T18:23:43Z","timestamp":1793039023954,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:00:00Z","timestamp":1558310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"The Swedish Association of Local Authorities and Regions"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>The aim of this study was to investigate different stapes surgery techniques in relation to hearing outcome and risk for complications such as tinnitus, hearing deterioration, dizziness, and taste disturbance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective database review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was based on data from the Swedish Quality Register for Otosclerosis Surgery (SQOS). Two study protocols were completed by the surgeon, and a questionnaire was distributed to each patient 1 year after surgery. A total of 832 patients operated on during 2013 to 2016 were included. Pure\u2010tone audiometry was performed preoperatively and 1 year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference in postoperative high\u2010frequency hearing thresholds among the subgroups at the 1\u2010year follow\u2010up. The CO<jats:sub>2<\/jats:sub> +\u2009drill laser group had the best hearing outcome according to the following criteria: air\u2010bone gap closure \u226410 dB, air\u2010conduction improvement &gt;20 dB, and bone conduction not worsened &gt;5 dB. The overall complication rate was low in all analyzed groups. The most commonly reported symptom after surgery was newly developed or worsened tinnitus (6%). Subjective hearing 1 year after surgery was reported to be better or much better in 91% of the patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The combination of a drill and CO<jats:sub>2<\/jats:sub> laser or a drill and potassium\u2010titanyl\u2010phosphate laser resulted in the best hearing outcome in this study from the SQOS. There were no major differences in high\u2010frequency hearing outcome when comparing the different surgical techniques. Complications from surgery were rare, and patient satisfaction was very high 1 year after the operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 130:790\u2013796, 2020<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28072","type":"journal-article","created":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T14:42:42Z","timestamp":1558363362000},"page":"790-796","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Surgical technique in stapedotomy hearing outcome and complications"],"prefix":"10.1002","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4058-2477","authenticated-orcid":false,"given":"Nina","family":"Pauli","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Institute of Clinical Sciences, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Str\u00f6mb\u00e4ck","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Otorhinolaryngology, Head and Neck Surgery, Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8772-2350","authenticated-orcid":false,"given":"Lars","family":"Lundman","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Central Hospital  Karlstad Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ylva","family":"Dahlin\u2010Redfors","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences Otorhinolaryngology, Head and Neck Surgery, Uppsala University  Uppsala 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