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The current review followed the guidelines of preferred reporting items for systematic reviews and meta-analysis statement 2009 (PRISMA).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Data extraction<\/jats:title>\n                <jats:p>Twenty-six studies were included with 334 patients in CI group and 241 patients in stapes surgery group. Comparison between both groups was done in terms of postoperative complications, audiological outcomes, rete of revision surgery and patients\u2019 satisfaction rate.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Postoperative complications rate was significantly lower in CI (13.6%) than stapes surgery (18.6%). CI had a significantly lower rate of revision surgery (8.1%) than stapes surgery (16.4%). CI had a better mean for pure tone average (29.1\u00a0dB) than stapedectomy (52.3\u00a0dB) while stapes surgery had a higher mean for recognition of monosyllables and disyllables than CI. CI had significantly higher satisfaction rate than stapes surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Both Stapes surgery and CI are reliable treatment options for FAO with close success rates. Statistics of CI are greater than stapes surgery and CI has a consistent improvement in audiometric outcomes in comparison to stapes surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-022-07449-w","type":"journal-article","created":{"date-parts":[[2022,6,10]],"date-time":"2022-06-10T08:24:56Z","timestamp":1654849496000},"page":"77-88","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Comparison of the efficacy of cochlear implantation and stapes surgery in far advanced otosclerosis: a meta-analysis study"],"prefix":"10.1007","volume":"280","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4886-7407","authenticated-orcid":false,"given":"Ahmed Abdelmoneim","family":"Teaima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelhamid Abdelhamid","family":"Elnashar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehab Kamal","family":"Hakim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanaa Sabry","family":"Hadaey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,6,10]]},"reference":[{"issue":"2","key":"7449_CR1","doi-asserted-by":"publisher","first-page":"429","DOI":"10.1016\/j.otc.2017.11.012","volume":"51","author":"AA Eshraghi","year":"2018","unstructured":"Eshraghi AA, Ila K, Ocak E, Telischi FF (2018) Advanced otosclerosis: stapes surgery or cochlear implantation? 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