{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:53:27Z","timestamp":1747173207336,"version":"3.40.5"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:00:00Z","timestamp":1684454400000},"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":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215123000890_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To investigate the effect of body mass index on hearing outcomes, operative time and complication rates following stapes surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000890_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This is a five-year retrospective review of 402 charts from a single tertiary otology referral centre from 2015 to 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000890_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>When the patient's shoulder was adjacent to the surgeon's dominant hand, the average operative time of 40 minutes increased to 70 minutes because of a significant positive association between higher body mass index and longer operative times (normal body mass index group (&lt;25 kg\/m<jats:sup>2<\/jats:sup>) r = 0.273, <jats:italic>p<\/jats:italic> = 0.032; overweight body mass index group (25\u201330 kg\/m<jats:sup>2<\/jats:sup>) r = 0.265, <jats:italic>p<\/jats:italic> = 0.019). Operative times were not significantly longer upon comparison of low and high body mass index groups without stratification by laterality (54.9 \u00b1 19.6 minutes <jats:italic>vs<\/jats:italic> 57.8 \u00b1 19.2 minutes, <jats:italic>p<\/jats:italic> = 0.127).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215123000890_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>There is a clinically significant relationship between body mass index and operating times. This may be due to access limitations imposed by shoulder size.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215123000890","type":"journal-article","created":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T09:02:59Z","timestamp":1684486979000},"page":"258-264","source":"Crossref","is-referenced-by-count":0,"title":["Quantifying the effect of shoulder size on operation duration: an analysis of stapes surgery outcomes"],"prefix":"10.1017","volume":"138","author":[{"given":"Christopher P","family":"Lenkeit","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3821-3859","authenticated-orcid":false,"given":"Christian G","family":"Fritz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan S","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher A","family":"Schutt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert S","family":"Hong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seilesh C","family":"Babu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"2nd","given":"Dennis I","family":"Bojrab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,5,19]]},"reference":[{"key":"S0022215123000890_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2013.03.031"},{"key":"S0022215123000890_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e31823dfb17"},{"key":"S0022215123000890_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000001662"},{"key":"S0022215123000890_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.03.022"},{"key":"S0022215123000890_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-019-0865-3"},{"key":"S0022215123000890_ref1","first-page":"1","article-title":"Prevalence of obesity and severe obesity among adults: United States 2017\u20132018","volume":"360","author":"Hales","year":"2020","journal-title":"NCHS Data Brief"},{"key":"S0022215123000890_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002442"},{"key":"S0022215123000890_ref11","doi-asserted-by":"publisher","DOI":"10.5935\/1808-8694.20130058"},{"key":"S0022215123000890_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2017.11.001"},{"key":"S0022215123000890_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2009.07.002"},{"key":"S0022215123000890_ref14","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2017.089"},{"key":"S0022215123000890_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.07.037"},{"key":"S0022215123000890_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2018.05.060"},{"key":"S0022215123000890_ref18","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13571"},{"key":"S0022215123000890_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2010.02.003"},{"key":"S0022215123000890_ref17","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000004490"},{"key":"S0022215123000890_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2014.11.002"},{"key":"S0022215123000890_ref12","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1607"},{"key":"S0022215123000890_ref10","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-012-2646-3"},{"key":"S0022215123000890_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jalz.2019.06.4949"}],"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\/S0022215123000890","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T09:40:40Z","timestamp":1708076440000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215123000890\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,19]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["S0022215123000890"],"URL":"https:\/\/doi.org\/10.1017\/s0022215123000890","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"type":"print","value":"0022-2151"},{"type":"electronic","value":"1748-5460"}],"subject":[],"published":{"date-parts":[[2023,5,19]]}}}