{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:03:58Z","timestamp":1761743038510},"reference-count":19,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":3435,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1998,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The diagnosis of conductive hearing loss is usually based on audiological methods and radiology. The aim of our study was to show that there is a useful additive method to clarify the findings of diseases with conductive hearing loss.<\/jats:p><jats:p>Patients (151 ears) with conductive hearing loss were examined using several methods: otomicroscopy, air- and bone-conduction threshold, pure tone average, speech threshold, speech discrimination, tympanometry and stapedial reflex and tympanoscopy.<\/jats:p><jats:p>The management of the patients changed in 17 per cent of cases due to tympanoscopy. In a group with normal tympanic membrane the movement of the stapes during endoscopy was compared to stapedial reflex. Stiff stapes were found more often than an abnormal stapedial reflex.<\/jats:p><jats:p>Middle ear endoscopy can increase the accuracy of diagnosis of conductive hearing loss thus enhancing decision making in the case of the patient.<\/jats:p>","DOI":"10.1017\/s0022215100140174","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:13:15Z","timestamp":1196417595000},"page":"154-157","source":"Crossref","is-referenced-by-count":9,"title":["Tympanoscopy to increase the accuracy of diagnosis in conductive hearing loss"],"prefix":"10.1017","volume":"112","author":[{"given":"Tapio S.","family":"Karhuketo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki J.","family":"Puhakka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pekka J.","family":"Laippala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100140174_ref016","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-50963-6"},{"key":"S0022215100140174_ref012","first-page":"529","article-title":"Evaluation of perilymphatic fistulas by middle ear endoscopy","volume":"13","author":"Poe","year":"1992","journal-title":"American Journal of Otology"},{"key":"S0022215100140174_ref001","first-page":"282","volume-title":"Surgical Anatomy of the Temporal Bone","author":"Anson","year":"1981"},{"key":"S0022215100140174_ref014","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1995.01890080038007"},{"key":"S0022215100140174_ref009","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1967.00760040389009"},{"key":"S0022215100140174_ref018","first-page":"30","volume-title":"Otolaryngology. 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