{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T15:21:54Z","timestamp":1786980114821,"version":"build-2736575974"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T00:00:00Z","timestamp":1691193600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T00:00:00Z","timestamp":1691193600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In primary cholesteatoma patients, incus destruction with an intact and mobile stapes is a frequent finding. Different techniques have been described to restore the ossicular chain, including incus interposition, stapes augmentation and type III tympanoplasty. Controversy about postoperative hearing results in open versus closed surgical techniques exist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective analysis of clinical, surgical and audiometric data of patients with primary cholesteatoma surgery operated between 2010 and 2020, and a mobile stapes and one-stage ossicular reconstruction. Pre- and post-operative audiograms were compared for the different surgical groups, mainly focusing on postoperative air\u2013bone gap. Mastoid pneumatization and ventilation was also considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean postoperative air\u2013bone gap (0.5\u20134\u00a0kHz) of the 126 included patients was 20\u00a0dB. Hearing after type III tympanoplasty (26\u00a0dB) was worse than incus interposition (19\u00a0dB) and stapes augmentation (20\u00a0dB). Hearing after an open (23\u00a0dB) versus closed (19\u00a0dB) surgical technique was significantly different. No improvement in air\u2013bone gap was observed for the higher frequencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A residual postoperative air\u2013bone gap should be considered after primary cholesteatoma surgery with intact and mobile stapes. Incus interposition in closed cavity operation is the optimal situation, but open cavity surgery should not be avoided because of hearing. Extent of the disease is prioritized and poorer ventilation before and after surgery may affect postoperative hearing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00405-023-08147-x","type":"journal-article","created":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T05:01:31Z","timestamp":1691211691000},"page":"711-718","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Reconstructive ossiculoplasty options in primary cholesteatoma surgeries with an intact stapes"],"prefix":"10.1007","volume":"281","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6312-4260","authenticated-orcid":false,"given":"Frederic","family":"Acke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filip","family":"Kostadinov","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schlegel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5187-3010","authenticated-orcid":false,"given":"Thomas","family":"Linder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,8,5]]},"reference":[{"issue":"8","key":"8147_CR1","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1017\/S0022215100087703","volume":"93","author":"M Tos","year":"1979","unstructured":"Tos M (1979) Pathology of the ossicular chain in various chronic middle ear diseases. J Laryngol Otol 93(8):769\u2013780","journal-title":"J Laryngol Otol"},{"issue":"8","key":"8147_CR2","doi-asserted-by":"publisher","first-page":"3615","DOI":"10.1007\/s00405-023-07873-6","volume":"280","author":"N Ishibashi","year":"2023","unstructured":"Ishibashi N, Motegi M, Yamamoto Y, Nakazawa T, Hirabayashi M, Kurihara S, Takahashi M, Yamamoto K, Sakurai Y, Kojima H (2023) Radiological and audiological predictors of stapes destruction in adherent pars tensa. Eur Arch Otorhinolaryngol 280(8):3615\u20133624","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"8","key":"8147_CR3","doi-asserted-by":"publisher","first-page":"2035","DOI":"10.1007\/s00405-015-3767-6","volume":"273","author":"S Lailach","year":"2016","unstructured":"Lailach S, Zahnert T, Lasurashvili N, Kemper M, Beleites T, Neudert M (2016) Hearing outcome after sequential cholesteatoma surgery. Eur Arch Otorhinolaryngol 273(8):2035\u20132046","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"7","key":"8147_CR4","doi-asserted-by":"publisher","first-page":"1499","DOI":"10.1002\/lary.25385","volume":"126","author":"JA Keeler","year":"2016","unstructured":"Keeler JA, Kaylie DM (2016) Cholesteatoma: is a second stage necessary? Laryngoscope 126(7):1499\u20131500","journal-title":"Laryngoscope"},{"issue":"1","key":"8147_CR5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1097\/01.mlg.0000185601.98903.34","volume":"116","author":"HH Kim","year":"2006","unstructured":"Kim HH, Battista RA, Kumar A, Wiet RJ (2006) Should ossicular reconstruction be staged following tympanomastoidectomy. Laryngoscope 116(1):47\u201351","journal-title":"Laryngoscope"},{"issue":"1","key":"8147_CR6","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1097\/MAO.0000000000002039","volume":"40","author":"TE Linder","year":"2019","unstructured":"Linder TE, Shah S, Martha AS, R\u00f6\u00f6sli C, Emmett SD (2019) Introducing the \u201cChOLE\u201d classification and its comparison to the EAONO\/JOS consensus classification for cholesteatoma staging. Otol Neurotol 40(1):63\u201372","journal-title":"Otol Neurotol"},{"key":"8147_CR7","doi-asserted-by":"crossref","unstructured":"Fisch U, May JS, Linder T. Tympanoplasty, Mastoidectomy, and Stapes Surgery. Second edition. Stuttgart (Germany): Georg Thieme Verlag; 2008.","DOI":"10.1055\/b-0034-84530"},{"issue":"7","key":"8147_CR8","volume":"14","author":"FQ Khan","year":"2022","unstructured":"Khan FQ, Deshmukh PT, Gaurkar SS (2022) Pneumatization pattern and status of the mastoid antrum in chronic otitis media: a review. Cureus 14(7):e27068","journal-title":"Cureus"},{"issue":"11","key":"8147_CR9","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1001\/jamaoto.2015.2269","volume":"141","author":"EF Blom","year":"2015","unstructured":"Blom EF, Gunning MN, Kleinrensink NJ, Lokin ASHJ, Bruijnzeel H, Smit AL, Grolman W (2015) Influence of ossicular chain damage on hearing after chronic otitis media and cholesteatoma surgery: a systematic review and meta-analysis. Jama Otolaryngol Head Neck Surg 141(11):974\u2013982","journal-title":"Jama Otolaryngol Head Neck Surg"},{"issue":"3","key":"8147_CR10","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1097\/00129492-200105000-00005","volume":"22","author":"JL Dornhoffer","year":"2001","unstructured":"Dornhoffer JL, Gardner E (2001) Prognostic factors in ossiculoplasty: a statistical staging system. Otol Neurotol 22(3):299\u2013304","journal-title":"Otol Neurotol"},{"issue":"2","key":"8147_CR11","doi-asserted-by":"publisher","first-page":"171","DOI":"10.5152\/iao.2017.3199","volume":"13","author":"D Ayache","year":"2017","unstructured":"Ayache D, Manach F, Teszler CB, Veyrat M, El Bakkouri W, Corr\u00e9 A, Daval M (2017) Cartilage ossiculoplasty from stapes to tympanic membrane in one-stage intact canal wall tympanoplasty for cholesteatoma. J Int Adv Otol 13(2):171\u2013175","journal-title":"J Int Adv Otol"},{"issue":"4","key":"8147_CR12","doi-asserted-by":"publisher","first-page":"282","DOI":"10.5152\/iao.2021.9267","volume":"17","author":"K Schlemmer","year":"2021","unstructured":"Schlemmer K, Qingsong L, Linder T (2021) Tympanoplasty with an intact stapes suprastructure in chronic otitis media. J Int Adv Otol 17(4):282\u2013287","journal-title":"J Int Adv Otol"},{"issue":"1","key":"8147_CR13","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/00129492-200301000-00007","volume":"24","author":"FC Jeng","year":"2003","unstructured":"Jeng FC, Tsai MH, Brown CJ (2003) Relationship of preoperative findings and ossicular discontinuity in chronic otitis media. Otol Neurotol 24(1):29\u201332","journal-title":"Otol Neurotol"},{"issue":"3","key":"8147_CR14","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1097\/MAO.0000000000001699","volume":"39","author":"A Niklasson","year":"2018","unstructured":"Niklasson A, Gladin\u00e9 K, R\u00f6nnblom A, von Unge M, Dirckx J, Tano K (2018) An optimal partial ossicular prosthesis should connect both to the tympanic membrane and malleus: a temporal bone study using laser doppler vibrometry. Otol Neurotol 39(3):333\u2013339","journal-title":"Otol Neurotol"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-023-08147-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-023-08147-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-023-08147-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T15:02:59Z","timestamp":1705590179000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-023-08147-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,5]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2]]}},"alternative-id":["8147"],"URL":"https:\/\/doi.org\/10.1007\/s00405-023-08147-x","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,5]]},"assertion":[{"value":"22 April 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 August 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors have no conflicts of interest to declare. The study did not receive any funding.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}