{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T16:12:31Z","timestamp":1788797551841,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate long\u2010term hearing improvement and risk for deterioration following surgical repair of congenital aural stenosis (CAS) using an endaural approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Patients who underwent modified meatoplasty with an endoaural\u2010conchal incision combined with canaloplasty and tympanoplasty for CAS between 2014 and 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Postoperative hearing improvement was assessed at 3, 6, 12, 18, 24, 36, 48, and &gt;60 months. Longitudinal trends were analyzed using mixed\u2010effects models. Hearing deterioration, defined as an air\u2010conduction (AC) threshold increase exceeding 10\u2009dB from the first postoperative audiogram, was analyzed using the Kaplan\u2010Meier method and Cox regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 77 patients (78 ears; aged 4\u201048 years) were included. The mean (SD) follow\u2010up duration was 25.2 (27.9) months, and the mean preoperative air\u2010bone gap (ABG) was 52.1\u2009dB. The average greatest ABG change (\u0394ABG) was 23.8\u2009dB. Within the first postoperative year, 66.7% achieved an ABG\u2009\u2264\u200930\u2009dB. Adjusted mixed\u2010effects analysis showed no significant overall \u0394ABG during follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.291). Postoperative ABG values were significantly better than preoperative values at all time points. The ABG at 12 months was higher than that at 3 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.021). Hearing deterioration differed significantly between groups stratified by the median preoperative AC threshold (61.7\u2009dB HL), which remained an independent predictor in the Cox analysis (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.027).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CAS repair yielded durable postoperative improvement. If deterioration occurred, it was mostly confined to the first year. Preoperative AC thresholds may help predict the risk for deterioration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70213","type":"journal-article","created":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T12:24:40Z","timestamp":1774182280000},"page":"1616-1624","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Long\u2010Term Audiological Outcomes After Surgical Repair for Congenital Aural Stenosis"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0998-5975","authenticated-orcid":false,"given":"Chia\u2010Chi","family":"Yeh","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Chang Gung Memorial Hospital Linkou 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