{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:07:26Z","timestamp":1761743246829},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T00:00:00Z","timestamp":1246406400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109005696_sec1\"><jats:title>Introduction:<\/jats:title><jats:p>Despite advances in imaging and other diagnostic tests, it is often impossible to establish with confidence a pre-operative diagnosis in a patient with a conductive hearing loss.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109005696_sec2\"><jats:title>Methods:<\/jats:title><jats:p>We studied a series of 340 exploratory tympanotomies for conductive hearing loss carried out by a single surgeon.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109005696_sec3\"><jats:title>Results:<\/jats:title><jats:p>The most common operative diagnosis was otosclerosis (<jats:italic>n<\/jats:italic>\u00a0=\u00a0164, 48.2 per cent). Ossicular discontinuity was found more commonly than previously reported (<jats:italic>n<\/jats:italic>\u00a0=\u00a0103, 30.3 per cent). A small but significant number of patients were found to have cholesteatoma (<jats:italic>n<\/jats:italic>\u00a0=\u00a07.2 per cent).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109005696_sec4\"><jats:title>Conclusions:<\/jats:title><jats:p>This information is of value when discussing potential findings at surgery for conductive hearing loss. While otosclerosis is the commonest finding in such cases, a significant number of patients have defects of the ossicular chain.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109005696","type":"journal-article","created":{"date-parts":[[2009,7,1]],"date-time":"2009-07-01T10:25:33Z","timestamp":1246443933000},"page":"1087-1089","source":"Crossref","is-referenced-by-count":19,"title":["Findings at exploratory tympanotomy for conductive hearing loss"],"prefix":"10.1017","volume":"123","author":[{"given":"G","family":"Robertson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Mills","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,7,1]]},"reference":[{"key":"S0022215109005696_ref6","doi-asserted-by":"publisher","DOI":"10.1044\/1092-4388(2003\/070)"},{"key":"S0022215109005696_ref11","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1997.00842.x"},{"key":"S0022215109005696_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000235311.80066.df"},{"key":"S0022215109005696_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510009722X"},{"key":"S0022215109005696_ref4","first-page":"81","article-title":"Reliability of CT scan in the diagnosis of conductive hearing loss with normal tympanic membrane [in French]","volume":"122","author":"Shin","year":"2001","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"S0022215109005696_ref2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200407000-00027"},{"key":"S0022215109005696_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000204142.80263.2b"},{"key":"S0022215109005696_ref12","first-page":"137","article-title":"Superior semicircular canal dehiscence mimicking otosclerotic hearing loss","volume":"65","author":"Merchant","year":"2007","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215109005696_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/S0221-0363(06)74157-9"},{"key":"S0022215109005696_ref10","doi-asserted-by":"publisher","DOI":"10.1080\/00016480310000700"},{"key":"S0022215109005696_ref1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198205000-00013"},{"key":"S0022215109005696_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00008"},{"key":"S0022215109005696_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198003000-00018"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109005696","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T11:08:05Z","timestamp":1556622485000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109005696\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,7,1]]},"references-count":13,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["S0022215109005696"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109005696","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,7,1]]}}}