{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:32:55Z","timestamp":1761744775036},"reference-count":9,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T00:00:00Z","timestamp":1528761600000},"content-version":"unspecified","delay-in-days":42,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118000105_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To report a novel management strategy for mixed hearing loss in advanced otosclerosis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000105_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>A 50-year-old male was referred to St Thomas\u2019 Hearing Implant Centre with otosclerosis; he was no longer able to wear conventional hearing aids because of recurrent otitis externa. The patient underwent short process incus vibroplasty (using the Med-El Vibrant Soundbridge device), followed at a suitable interval (six weeks) by stapes surgery. The main outcome measures were: pure tone audiometry, functional gain and monosyllabic word recognition scores.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000105_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Post-operative pure tone audiometry showed a reduction of the mean air\u2013bone gap from 55 dB HL to 20 dB HL. The residual mixed hearing loss was rehabilitated with the Vibrant Soundbridge, with an average device gain of 32 dB. The monosyllabic word recognition scores in quiet at 65 dB improved from 37 to 100 per cent when using the Vibrant Soundbridge at six months after switch-on of the device.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000105_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Stapedotomy in conjunction with incus short process vibroplasty (i.e. inner-ear vibroplasty) is a safe and promising procedure for managing advanced otosclerosis with mixed hearing loss in selected patients.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118000105","type":"journal-article","created":{"date-parts":[[2018,6,12]],"date-time":"2018-06-12T08:35:07Z","timestamp":1528792507000},"page":"457-460","source":"Crossref","is-referenced-by-count":4,"title":["An alternative approach to mixed hearing loss in otosclerosis: stapes surgery combined with an active middle-ear implant"],"prefix":"10.1017","volume":"132","author":[{"given":"H R F","family":"Powell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"Pai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Ghulam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,6,12]]},"reference":[{"key":"S0022215118000105_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318213b0f1"},{"key":"S0022215118000105_ref8","first-page":"320","article-title":"Vibrant Soundbridge middle ear implant in otosclerosis: technique - indication","volume":"65","author":"Dumon","year":"2007","journal-title":"Adv Otorhinolaryngol"},{"key":"S0022215118000105_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3181645366"},{"key":"S0022215118000105_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000185047.77017.31"},{"key":"S0022215118000105_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000310"},{"key":"S0022215118000105_ref2","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1017\/S0022215100136242","article-title":"The bone anchored hearing aid-the third option for otosclerosis","volume":"21","author":"Burrell","year":"1996","journal-title":"J Laryngol Otol"},{"key":"S0022215118000105_ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000354981"},{"key":"S0022215118000105_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000822"},{"key":"S0022215118000105_ref4","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000199754.51815.70"}],"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\/S0022215118000105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,19]],"date-time":"2019-10-19T09:59:56Z","timestamp":1571479196000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215118000105\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2018,5]]}},"alternative-id":["S0022215118000105"],"URL":"https:\/\/doi.org\/10.1017\/s0022215118000105","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}