{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,2,9]],"date-time":"2024-02-09T07:30:09Z","timestamp":1707463809654},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2010,12,9]],"date-time":"2010-12-09T00:00:00Z","timestamp":1291852800000},"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":[[2011,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215110002422_sec1\"><jats:title>Background:<\/jats:title><jats:p>Stapedotomy produces the best hearing results of any otological operation. However, in a small number of cases the air\u2013bone gap is not successfully closed, or conductive hearing loss recurs.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002422_sec2\"><jats:title>Objective:<\/jats:title><jats:p>To investigate the proportion of cases in the senior author's series which required revision surgery and to determine the medium to long term success rate of surgery, taking into account the results of revision surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002422_sec3\"><jats:title>Methods:<\/jats:title><jats:p>Review of a series of 233 primary stapedotomy operations and 100 revision procedures carried out by one surgeon over a 20-year period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002422_sec4\"><jats:title>Results:<\/jats:title><jats:p>Closure of the air\u2013bone gap to within 10\u00a0dB was achieved in 80 per cent of cases following the primary procedure. Fifteen per cent of patients developed a recurrence of conductive hearing loss. When the results of revision surgery were taken into account, the proportion of ears with a mean air\u2013bone gap of less than 10\u00a0dB was 86 per cent. However, of the patients undergoing revision surgery, air\u2013bone gap closure to within 10\u00a0dB was only achieved in 52 per cent of cases.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002422_sec5\"><jats:title>Conclusion:<\/jats:title><jats:p>The best chance of obtaining a successful outcome in stapedotomy is to achieve this for the first procedure. However, revision surgery does increase the medium to long term success rate.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215110002422","type":"journal-article","created":{"date-parts":[[2010,12,9]],"date-time":"2010-12-09T07:35:26Z","timestamp":1291880126000},"page":"460-466","source":"Crossref","is-referenced-by-count":8,"title":["Persistent and recurrent conductive deafness following stapedotomy"],"prefix":"10.1017","volume":"125","author":[{"given":"G","family":"Thiel","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":[[2010,12,9]]},"reference":[{"key":"S0022215110002422_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1994.tb01266.x"},{"key":"S0022215110002422_ref10","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198509000-00005"},{"key":"S0022215110002422_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100092665"},{"key":"S0022215110002422_ref7","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198101000-00007"},{"key":"S0022215110002422_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100103858"},{"key":"S0022215110002422_ref23","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000172414.64907.9d"},{"key":"S0022215110002422_ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100121498"},{"key":"S0022215110002422_ref17","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199412000-00002"},{"key":"S0022215110002422_ref20","first-page":"52","article-title":"Forty years of stapes surgery","volume":"19","author":"Shea","year":"1998","journal-title":"Am J Otol"},{"key":"S0022215110002422_ref9","first-page":"125","article-title":"Revision of polythene strut stapedectomy","volume":"63","author":"Lindeman","year":"1982","journal-title":"Trans Pac Coast Oto-Ophthalmol Soc"},{"key":"S0022215110002422_ref16","first-page":"383","article-title":"Argon laser revision stapedectomy","volume":"15","author":"Horn","year":"1994","journal-title":"Am J Otol"},{"key":"S0022215110002422_ref19","first-page":"408","article-title":"Functional hearing results in revision stapes surgery","volume":"18","author":"Magliulo","year":"1997","journal-title":"Am J Otol"},{"key":"S0022215110002422_ref1","first-page":"387","article-title":"Primary and revision stapedectomy in elderly patients","volume":"12","author":"Meyer","year":"2004","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"S0022215110002422_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200206000-00030"},{"key":"S0022215110002422_ref5","first-page":"383","article-title":"Stapedectomy revision","volume":"15","author":"Lippy","year":"1980","journal-title":"Am J Otol"},{"key":"S0022215110002422_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709600205"},{"key":"S0022215110002422_ref31","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1996.00792.x"},{"key":"S0022215110002422_ref22","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.111285"},{"key":"S0022215110002422_ref24","first-page":"347","article-title":"Revision stapes surgery for recurrent transmissional hearing loss after stapedectomy and stapedotomy for otosclerosis","volume":"25","author":"Puxeddu","year":"2005","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"S0022215110002422_ref30","doi-asserted-by":"publisher","DOI":"10.1258\/002221503321626375"},{"key":"S0022215110002422_ref18","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199709000-00006"},{"key":"S0022215110002422_ref6","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198002000-00006"},{"key":"S0022215110002422_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200205000-00009"},{"key":"S0022215110002422_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199812000-00006"},{"key":"S0022215110002422_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2006.04.003"},{"key":"S0022215110002422_ref15","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199309000-00002"},{"key":"S0022215110002422_ref13","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199111000-00003"},{"key":"S0022215110002422_ref29","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200211000-00007"},{"key":"S0022215110002422_ref12","first-page":"1","article-title":"Lasers for otosclerosis: CO2 vs. argon and KTP-532","volume":"99","author":"Lesinski","year":"1989","journal-title":"Laryngoscope"},{"key":"S0022215110002422_ref26","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70081-6"},{"key":"S0022215110002422_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00005"}],"container-title":["The Journal of Laryngology &amp; 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