{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T16:01:32Z","timestamp":1740153692844,"version":"3.37.3"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2016,1,1]],"date-time":"2016-01-01T00:00:00Z","timestamp":1451606400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Otolaryngology"],"published-print":{"date-parts":[[2016]]},"abstract":"<jats:p><jats:italic>Objective<\/jats:italic>. The aim of this study is to analyze the hearing and vestibular outcome of patients with otosclerosis who have been operated on by fiber optic flexible CO<jats:sub>2<\/jats:sub>laser.<jats:italic>Study Design<\/jats:italic>. A preliminary and retrospective study was conducted in 30 patients with otosclerosis.<jats:italic>Results<\/jats:italic>. Comparative analysis of average air conduction thresholds (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mn fontstyle=\"italic\">53.41<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">11.81<\/mml:mn><\/mml:math>\u2009dB versus<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\"><mml:mn fontstyle=\"italic\">26.37<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">11.04<\/mml:mn><\/mml:math>\u2009dB) and air-bone gaps (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\"><mml:mn fontstyle=\"italic\">34<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">9.92<\/mml:mn><\/mml:math>\u2009dB versus<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\"><mml:mn fontstyle=\"italic\">12.03<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">6.02<\/mml:mn><\/mml:math>\u2009dB) before and after the surgery were statistically significant (&lt;0.001). Air-bone gap closed within 10\u2009dB or less in 50% of the cases and within 20\u2009dB or less in 90% of the cases. Average bone conduction threshold after the surgery (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\"><mml:mn mathvariant=\"normal\">16.68<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn mathvariant=\"normal\">12.00<\/mml:mn><\/mml:math>\u2009dB) was better than that before the surgery (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\"><mml:mn fontstyle=\"italic\">20.13<\/mml:mn><mml:mo>\u00b1<\/mml:mo><mml:mn fontstyle=\"italic\">8.59<\/mml:mn><\/mml:math>). However, no statistically significant difference was found (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\"><mml:mi>p<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn fontstyle=\"italic\">0.213<\/mml:mn><\/mml:math>). One patient had tinnitus after surgery. None of the patients had severe sickness or vomiting due to surgery. Eleven patients (36.6%) had very mild nystagmus beating toward the counter-lateral side. All patients were stable at 10 days after surgery.<jats:italic>Conclusion<\/jats:italic>. The results indicate that fiber optic flexible CO<jats:sub>2<\/jats:sub>laser provides the surgeon with a very safe and precise surgical instrumentation even in cases with extensive and obliterative otosclerosis.<\/jats:p>","DOI":"10.1155\/2016\/4958074","type":"journal-article","created":{"date-parts":[[2016,9,20]],"date-time":"2016-09-20T21:02:28Z","timestamp":1474405348000},"page":"1-5","source":"Crossref","is-referenced-by-count":1,"title":["Flexible Fiber Optic Carbon-Dioxide Laser Assisted Stapedotomy in Otosclerosis"],"prefix":"10.1155","volume":"2016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1430-1026","authenticated-orcid":true,"given":"Sertac","family":"Yetiser","sequence":"first","affiliation":[{"name":"Anadolu Medical Center, Department of ORL & HNS, 41400 Kocaeli, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"issue":"2","key":"1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1288\/00005537-198002000-00007","volume":"90","year":"1980","journal-title":"The Laryngoscope"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1177\/000348948209100107"},{"key":"3","first-page":"1","volume":"385","year":"1982","journal-title":"Acta Oto-Laryngologica. 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