{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:02:22Z","timestamp":1791158542641,"version":"4.1.0"},"reference-count":12,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2007,1,1]],"date-time":"2007-01-01T00:00:00Z","timestamp":1167609600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiol Neurotol"],"published-print":{"date-parts":[[2007]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; To evaluate the functional results obtained after stapedotomy in patients affected by otosclerosis, according to the prosthesis diameter. &lt;i&gt;Patients and Methods:&lt;\/i&gt; A retrospective case review was performed. Two hundred and twelve consecutive ears in 132 patients affected by otosclerosis were operated on. All patients underwent primary small-fenestra stapedotomy. In 112 of the 212 stapedotomies (52.83%) the 0.6-mm piston (group A) and in 100 of the 212 stapedotomies (47.16%) the 0.4-mm piston (group B) were employed. &lt;i&gt;Results:&lt;\/i&gt; After surgery, the difference between the two groups in the air conduction improvement (21.04 dB group A vs. 11.14 dB group B) reached statistical significance (p &lt; 0.05). In group A, the postoperative air conduction pure-tone average improvement obtained at 0.5, 1, and 2 kHz was statistically greater as compared with group B (p &lt; 0.05). In group A the postoperative bone conduction pure-tone average decreased by 5.19 dB, whereas in group B it increased by 2.95 dB (p &gt; 0.05). The incidence of ears with a postoperative bone conduction worsening &gt;10 dB (sensorineural hearing loss) was lower in group B than in group A: 5 of 100 ears (5%) versus 9 of112 ears (8.03%) (p &gt; 0.05). The postoperative air-bone gap was smaller in group A than in group B for all frequencies, but the difference can be considered significant at 1 and 2 kHz. The air-bone gap improvement in group A if compared with group B was statistically greater at 0.5, 1, and 2 kHz (p &lt; 0.05). &lt;i&gt;Conclusions: &lt;\/i&gt;Our study suggests that an increase in piston diameter gives better results, especially at lower frequencies. The functional results obtained after stapedotomy confirm the advantageous effect of a larger piston diameter on hearing of the speech frequencies and support the opinion of a better clinical effect.<\/jats:p>","DOI":"10.1159\/000101329","type":"journal-article","created":{"date-parts":[[2007,3,29]],"date-time":"2007-03-29T06:21:17Z","timestamp":1175149277000},"page":"221-225","source":"Crossref","is-referenced-by-count":27,"title":["Hearing Results after Stapedotomy: Role of the Prosthesis Diameter"],"prefix":"10.1159","volume":"12","author":[{"given":"Maria Raffaella","family":"Marchese","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Cianfrone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio Cesare","family":"Passali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaetano","family":"Paludetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2007,3,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1017%2FS0022215100098662"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159%2F000312937"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS0194-5998%2895%2970103-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1017%2FS0022215100158530"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2000-15917"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.otohns.2004.05.008"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.3109%2F00016488209108479"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1067%2Fmhn.2001.112431"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1046%2Fj.1365-2273.1999.00207.x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1017%2FS0022215100103846"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1080%2F010503900750042752"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1159%2F000027931"}],"container-title":["Audiology and Neurotology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/101329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/101329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T02:59:46Z","timestamp":1745463586000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000101329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2007,6,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000101329","archive":["Portico"],"relation":{},"ISSN":["1420-3030","1421-9700"],"issn-type":[{"value":"1420-3030","type":"print"},{"value":"1421-9700","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007]]}}}