{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:52:50Z","timestamp":1747173170347,"version":"3.40.5"},"reference-count":32,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T00:00:00Z","timestamp":1644364800000},"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":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121004618_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>This study aimed to evaluate the long-term hearing outcomes in stapedotomy surgery using skeeter oto-drill and to assess safety in difficult situations.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121004618_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>A retrospective study was conducted with 944 patients who underwent 1007 stapedotomy procedures over 16 years, performed by a single surgeon using a trans-canal approach and a self-retaining ear canal retractor. Hearing thresholds were calculated over four frequencies. Air\u2013bone conduction hearing thresholds were obtained at 1, 5 and 10 years post-operatively and compared to the pre-operative records.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121004618_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Out of 1007 operated ears with one year follow up, 98.61 per cent of cases showed a negligible air\u2013bone gap of equal to or less than 5 dB, 1.19 per cent of cases showed an air\u2013bone gap equal to or more than 5 dB but less than 10 dB, and only 0.2 per cent of cases showed an air\u2013bone gap of more than 10 dB.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121004618_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>In this study, using skeeter drill with a 0.6 mm diamond burr to make the fenestra was constant in all the cases and one of the safest techniques, showing persistent long-term hearing 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