{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T18:52:54Z","timestamp":1783018374293,"version":"3.54.6"},"reference-count":27,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"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":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122002316_sec_a1\"><jats:title>Background<\/jats:title><jats:p>The impact of tight stapes crimping on hearing is a matter of debate. Several studies postulate that tight crimping is essential for lifelong success, whereas others have debated whether firm attachment leads to incus necrosis. Several types of prostheses with different coupling mechanisms have been developed, and manual crimping remains the most frequently used technique. This study investigates whether tightness really does affect hearing outcome.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002316_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>The hearing results of patients who underwent primary stapedotomies using three different titanium pistons were analysed. The surgeons categorised the firmness of the piston attachment into \u2018tight\u2019 and \u2018loose\u2019 crimping groups. Hearing outcome and reasons for revision surgical procedures were investigated.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002316_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The mean post-operative air\u2013bone gap for frequencies of 0.5\u20134 kHz was 8.80 dB for the tight crimping group (<jats:italic>n<\/jats:italic> = 308) and 9.55 dB for the loose crimping group (<jats:italic>n<\/jats:italic> = 39). No significant difference was found (<jats:italic>p<\/jats:italic> = 0.4650). Findings at revision procedures were comparable (1.6 per cent <jats:italic>vs<\/jats:italic> 5 per cent).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122002316_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Although firm crimping is strongly advised, a movable loop upon palpation does not lead to unsatisfactory hearing results, and does not mandate piston replacement or bone cement use.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122002316","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T08:23:11Z","timestamp":1666254191000},"page":"1027-1033","source":"Crossref","is-referenced-by-count":2,"title":["Impact of manual crimping on stapedotomy outcomes"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5463-1049","authenticated-orcid":false,"given":"F","family":"Couvreur","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Schlegel-Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T","family":"Linder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"S0022215122002316_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200304000-00012"},{"key":"S0022215122002316_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24514"},{"key":"S0022215122002316_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/000348945806700403"},{"key":"S0022215122002316_ref23","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2016.1214759"},{"key":"S0022215122002316_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200205000-00010"},{"key":"S0022215122002316_ref24","first-page":"9","volume-title":"Otosclerosis","author":"Marquet","year":"1990"},{"key":"S0022215122002316_ref26","doi-asserted-by":"publisher","DOI":"10.1007\/s001060050142"},{"key":"S0022215122002316_ref14","doi-asserted-by":"publisher","DOI":"10.1055\/b-002-85487"},{"key":"S0022215122002316_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(97)90044-2"},{"key":"S0022215122002316_ref2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00011"},{"key":"S0022215122002316_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/000348947408300202"},{"key":"S0022215122002316_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25586"},{"key":"S0022215122002316_ref27","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000889"},{"key":"S0022215122002316_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200111000-00011"},{"key":"S0022215122002316_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200305000-00015"},{"key":"S0022215122002316_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.100"},{"key":"S0022215122002316_ref18","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199111000-00003"},{"key":"S0022215122002316_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2007.04.007"},{"key":"S0022215122002316_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318184f4f0"},{"key":"S0022215122002316_ref11","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154747.63561.52"},{"key":"S0022215122002316_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2011.10.008"},{"key":"S0022215122002316_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182a43619"},{"key":"S0022215122002316_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100103846"},{"key":"S0022215122002316_ref16","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000235311.80066.df"},{"key":"S0022215122002316_ref20","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00004"},{"key":"S0022215122002316_ref1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002047"},{"key":"S0022215122002316_ref22","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200205000-00009"}],"container-title":["The Journal of Laryngology &amp; 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