{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T01:04:39Z","timestamp":1692666279474},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T00:00:00Z","timestamp":1447632000000},"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":[[2016,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115003059_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To establish the prevalence of stapes obliquity as observed in otosclerosis patients during stapes surgery by a simple method of intra-operative measurement.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003059_sec_a2\"><jats:title>Design:<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003059_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Intra-operative measurements showed that the mean distance (\u00b1 standard deviation) between the horizontal segment of the facial nerve and stapes crura in 10 cases of otosclerosis was 0.74\u00a0mm (\u00b1 0.21\u00a0mm), whereas in 10 cases of non-otosclerosis the same distance was 0.20\u00a0mm (\u00b1 0.00). There was no gap (0\u00a0mm) between the stapes crura and inferior border of the oval window niche in otosclerotic ears, whereas in non-otosclerotic ears the same distance was 0.13\u00a0mm (\u00b1 0.05\u00a0mm). The differences were statistically significant (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.0001).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003059_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Obliquity and downward displacement of the stapes occurs in otosclerosis. It has diagnostic value as a new clinical sign in otosclerosis. The findings correlate with late complications and failures in stapes surgery. Methods to avoid these have been suggested.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115003059","type":"journal-article","created":{"date-parts":[[2015,11,16]],"date-time":"2015-11-16T04:33:08Z","timestamp":1447648388000},"page":"134-144","source":"Crossref","is-referenced-by-count":2,"title":["Obliquity of the stapes in otosclerosis: intra-operative observations and implications in stapes surgery"],"prefix":"10.1017","volume":"130","author":[{"given":"V","family":"Anand","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H N","family":"Udayabhanu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,11,16]]},"reference":[{"key":"S0022215115003059_ref23","volume-title":"Surgical Solutions for Conductive Hearing Loss","author":"Tos","year":"2000"},{"key":"S0022215115003059_ref20","first-page":"23","article-title":"The problems encountered during stapes surgery and their solutions","volume":"4","author":"Nuriozgirgin","year":"2004","journal-title":"Pro Otology (Balkan Journal of Otology and Neuro-Otology)"},{"key":"S0022215115003059_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110001203"},{"key":"S0022215115003059_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1940.00660020776009"},{"key":"S0022215115003059_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/000348944705600413"},{"key":"S0022215115003059_ref10","volume-title":"Surgery of the Ear","author":"Shambaugh","year":"1967"},{"key":"S0022215115003059_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181c0e80f"},{"key":"S0022215115003059_ref5","doi-asserted-by":"publisher","DOI":"10.1055\/b-002-66284"},{"key":"S0022215115003059_ref1","first-page":"309","article-title":"Primary disease of the bony labyrinthine capsule [in German]","volume":"25","author":"Politzer","year":"1893","journal-title":"Zeitschr Ohrenheil"},{"key":"S0022215115003059_ref15","first-page":"243","article-title":"Intratemporal course of the facial nerve: morphological, topographic and morphometric features","volume":"51","author":"Maru","year":"2010","journal-title":"Rom J Morphol Embryol"},{"key":"S0022215115003059_ref3","volume-title":"Surgery of the Ear","author":"Glasscock","year":"2003"},{"key":"S0022215115003059_ref4","doi-asserted-by":"publisher","DOI":"10.1055\/b-002-85517"},{"key":"S0022215115003059_ref14","first-page":"314","article-title":"Location of tympanic segment and mastoid segment of facial nerve and prevention of prosopoplegia in operations [in Chinese]","volume":"25","author":"Zhu","year":"2011","journal-title":"Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi"},{"key":"S0022215115003059_ref21","volume-title":"Revision Otologic Surgery","author":"Carrasco","year":"1997"},{"key":"S0022215115003059_ref8","first-page":"109","volume-title":"Modern Thin-Section Tomography","author":"Valvassori","year":"1973"},{"key":"S0022215115003059_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540751010"},{"key":"S0022215115003059_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1963.00750020481009"},{"key":"S0022215115003059_ref2","first-page":"5","volume-title":"Surgery of the Ear","author":"Anson","year":"1980"},{"key":"S0022215115003059_ref6","first-page":"517","volume-title":"Surgery of the Ear","author":"Shea","year":"2003"},{"key":"S0022215115003059_ref22","doi-asserted-by":"publisher","DOI":"10.1159\/000276953"},{"key":"S0022215115003059_ref17","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182009d10"},{"key":"S0022215115003059_ref18","volume-title":"Operative Otolaryngology Head and Neck Surgery","author":"Myers","year":"2008"},{"key":"S0022215115003059_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/000348944805700107"},{"key":"S0022215115003059_ref24","first-page":"41","article-title":"Distance measurement in middle ear surgery using a telemanipulator","volume":"14","author":"Maier","year":"2011","journal-title":"Med Image Comput Comput Assist Interv"}],"container-title":["The Journal of Laryngology &amp; 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