{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:03:54Z","timestamp":1779771834132,"version":"3.53.1"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,23]],"date-time":"2025-07-23T00:00:00Z","timestamp":1753228800000},"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":["World j. otorhinolaryngol.-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 the improvement in bone conduction (BC) thresholds after stapes surgery for otosclerosis, compare the outcomes of surgical techniques, and analyze the short\u2010 and long\u2010term results to inform treatment strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed data from 173 patients (188 ears) who underwent total stapedectomy, partial stapedectomy, or stapedotomy for otosclerosis between 2009 and 2024. Medical histories, preoperative evaluations, and operative records were analyzed, focusing on pre\u2010 and postoperative pure\u2010tone audiometry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Postoperatively, mean thresholds improved by 20.3\u2009dB for air conduction (AC) and 2.0\u2009dB for BC, leading to a mean air\u2010bone gap (ABG) of 18.3\u2009dB. An ABG of less than 10\u2009dB was achieved in 79 ears (42.0%), and full ABG closure (ABG\u2009\u2264\u200920\u2009dB) was achieved in 145 ears (80.4%). Compared with the preoperative levels, the BC thresholds at 0.5, 1, and 2\u2009kHz improved by 1.3, 3.7, and 4.9\u2009dB, respectively. However, the 4\u2010kHz BC threshold increased by 1.7\u2009dB. Postoperative AC thresholds at 0.5\u20134\u2009kHz decreased significantly by 27.1, 26.5, 18.3, and 9.2\u2009dB, respectively (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Stapes surgery significantly improved BC thresholds at 0.5, 1, and 2\u2009kHz in patients with otosclerosis, with resolution of the CN at 2\u2009kHz, indicating correction of the CHL. Although a slight increase in the BC threshold was observed at 4\u2009kHz, the overall AC threshold improvement and ABG closure were substantial. These findings highlight the clinical relevance of the postoperative BC threshold dynamics.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70043","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T05:44:26Z","timestamp":1753335866000},"page":"298-304","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improved Bone Conduction and Hearing Outcomes After Stapes Surgery for Otosclerosis"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6978-2731","authenticated-orcid":false,"given":"Na","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Capital Medical University Beijing China"},{"name":"Key Laboratory of Otolaryngology Head and Neck Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Bo","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Capital Medical University Beijing China"},{"name":"Key Laboratory of Otolaryngology Head and Neck Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan\u2010Ni","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Capital Medical University Beijing China"},{"name":"Key Laboratory of Otolaryngology Head and Neck Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital Capital Medical University Beijing China"},{"name":"Key Laboratory of Otolaryngology Head and Neck Beijing 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