{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T08:14:22Z","timestamp":1773735262606,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To review the literature regarding malleostapedotomy as primary or revision surgery in patients with stapes fixation, to point out the state of the art regarding indications, techniques and outcomes of this procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>PubMed, CINAHL and Cochrane databases were screened following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>Clinical studies describing malleostapedotomy in patients with stapes fixation were included in this Systematic Review. Data about indications, intraoperative findings, features of the prostheses and audiological results were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 25 articles and 632 ears that underwent malleostapedotomy were included in the analysis. This technique has been employed for both primary and revision surgeries, evolving over time alongside advancements in the prostheses used. Revision otosclerosis surgery was identified as the most common surgery necessitating malleostapedotomy. Among the cases, 44.8% achieved ABG closure within 10\u2009dB, while 84.9% achieved ABG closure within 20\u2009dB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Malleostapedotomy is a safe and valid surgical technique that can be performed when incus anchoring stapedoplasty is not feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70232","type":"journal-article","created":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T11:06:43Z","timestamp":1763032003000},"page":"1601-1613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Malleostapedotomy in Patients With Stapes Fixation: A Systematic Review"],"prefix":"10.1002","volume":"136","author":[{"given":"Matteo","family":"Alicandri\u2010Ciufelli","sequence":"first","affiliation":[{"name":"FACS, FEBORL\u2010HNS, ENT Department at Policlinico di Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6762-3073","authenticated-orcid":false,"given":"Edoardo","family":"D'Alessandro","sequence":"additional","affiliation":[{"name":"ENT Department at Policlinico di Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Lucidi","sequence":"additional","affiliation":[{"name":"UOC Otorinolaringoiatria\u2014Universit\u00e0 Degli Studi di Bologna\u2014AUSL Romagna\u2014Sede di Ravenna  Ravenna Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Nocini","sequence":"additional","affiliation":[{"name":"Unit of Otolaryngology, Head and Neck Department University of Verona  Verona Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0033-8476","authenticated-orcid":false,"given":"Hui Davide","family":"Qiu","sequence":"additional","affiliation":[{"name":"ENT Department at Policlinico di Modena University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537\u2010198203000\u201000007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948609500517"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492\u2010200111000\u201000011"},{"key":"e_1_2_9_5_1","first-page":"197","volume-title":"Otosclerosis and Stapes Surgery","author":"H\u00e4usler 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