{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:22:42Z","timestamp":1777562562123,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2018,7,1]],"date-time":"2018-07-01T00:00:00Z","timestamp":1530403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>The objective of this study was to determine hearing outcomes in patients undergoing stapes surgery with a preoperative air-bone gap (ABG) &lt;21.25 dB. Patients with a unilateral or bilateral preoperative ABG &lt;21.25 dB undergoing primary stapes surgery were identified from a database of all stapes surgeries performed in a tertiary center over 15 years. A total of 254 ears met the inclusion criteria. The primary outcome measure was the degree of closure of the preoperative ABG. A secondary outcome measure was improvement in bone-conduction thresholds at 4 kHz. All patients underwent stapes surgery under local anesthesia. Ossicular reconstruction was achieved using a SMart 360 nitinol fluoroplastic piston (Gyrus ACMI, Inc.; South-borough, Mass.), and complete posterior crurotomy was performed with a KTP laser. Hearing was assessed with clinical voice testing immediately postoperatively and with pure-tone audiometry at 6 weeks postoperatively. A total of 248 ears (97.6%) demonstrated ABG closure to &lt;10 dB. Bone-conduction thresholds showed an increase in 114 (44.9%), no change 74 (29.1%), and a decrease in 66 (26.0%). There is a slight increase in the risk of stapes mobilization in ears with a small ABG when compared to those with larger ABGs; however, this can be overcome by using a laser-assisted technique in combination with good surgical experience. The benefit in terms of hearing aid avoidance and the restoration of symmetrical hearing is both achievable and significant for the patient.<\/jats:p>","DOI":"10.1177\/014556131809700709","type":"journal-article","created":{"date-parts":[[2018,12,4]],"date-time":"2018-12-04T23:49:38Z","timestamp":1543967378000},"page":"198-212","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Stapes Surgery in Patients with a Small Air-Bone Gap"],"prefix":"10.1177","volume":"97","author":[{"given":"Jeremy","family":"Lavy","sequence":"first","affiliation":[{"name":"From the Department of Otology, The Royal National Throat Nose and Ear Hospital, London, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona","family":"McClenaghan","sequence":"additional","affiliation":[{"name":"From the Department of Otology, The Royal National Throat Nose and Ear Hospital, London, U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,1]]},"reference":[{"key":"bibr1-014556131809700709","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e32833d11d9"},{"issue":"6","key":"bibr2-014556131809700709","first-page":"3","volume":"3","author":"Somers T.H.","year":"2007","journal-title":"B-ENT"},{"key":"bibr3-014556131809700709","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2015.07.014"},{"key":"bibr4-014556131809700709","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198511000-00003"},{"key":"bibr5-014556131809700709","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181bc3c22"},{"issue":"3","key":"bibr6-014556131809700709","first-page":"221","volume":"7","author":"Wiet R.J.","year":"1986","journal-title":"Am J Otol"},{"key":"bibr7-014556131809700709","unstructured":"The American Academy of Otolaryngology\u2013Head and Neck Surgery Foundation Position statement: Management of Otosclerosis 2014. www.entnet.org\/content\/management-oto-sclerosis. 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