{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:36:07Z","timestamp":1761006967531,"version":"build-2065373602"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,10,3]],"date-time":"2012-10-03T00:00:00Z","timestamp":1349222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare short\u2010 and long\u2010term hearing results following stapedectomy using 3 different oval window grafting materials with the same stapes prosthesis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Database review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral private practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Subjects were ears that underwent stapedectomy for otosclerosis, with placement of fat, fascia, or vein as an oval window seal and reconstruction with a titanium bucket handle prosthesis. A total of 365 procedures met these inclusion criteria: 98 fat grafts, 135 fascia grafts, and 132 vein grafts. Outcome measures included short\u2010term (&lt;1 year) and long\u2010term follow\u2010up air\u2010bone gap. We compared the preoperative and postoperative amount of change in air\u2010bone gap and preoperative and postoperative amount of change in the high\u2010frequency bone conduction average.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall median times to short\u2010term and long\u2010term follow\u2010ups were 2.2\u00a0months and 36.1\u00a0months, respectively. There were no statistically significant differences between the 3 tissue seal groups in the amount of change in air\u2010bone gap. There was no significant difference in amount of change in high\u2010frequency bone conduction (representing sensorineural hearing level) between the 3 tissue seal groups. Most patients in all 3\u00a0groups had an air\u2010bone gap at long\u2010term follow\u2010up of \u226410\u00a0dB (fat, 79.5%; fascia, 78.8%; and vein, 75.6%), with 90.3% of all patients at \u226420\u00a0dB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In both the short\u2010term postoperative period and long\u2010term follow\u2010up, there were no significant differences in hearing results among 3 types of tissue seals of the oval window in stapes surgery. Fat, fascia, and vein grafts all provide satisfactory hearing outcomes in stapedectomy.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599812463184","type":"journal-article","created":{"date-parts":[[2012,10,4]],"date-time":"2012-10-04T01:22:26Z","timestamp":1349313746000},"page":"115-120","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Hearing Outcomes in Stapes Surgery"],"prefix":"10.1002","volume":"148","author":[{"given":"Richard J.","family":"Wiet","sequence":"first","affiliation":[{"name":"The Ear Institute of Chicago Hinsdale Illinois USA"},{"name":"The Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University Medical School Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert A.","family":"Battista","sequence":"additional","affiliation":[{"name":"The Ear Institute of Chicago Hinsdale Illinois USA"},{"name":"The Department of Otolaryngology\u2013Head and Neck Surgery Northwestern University Medical School Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Mark","family":"Wiet","sequence":"additional","affiliation":[{"name":"The Ear Institute of Chicago Hinsdale Illinois USA"},{"name":"The Department of Otolaryngology\u2013Head and Neck Surgery Rush University Medical Center Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew T.","family":"Sabin","sequence":"additional","affiliation":[{"name":"The Department of Communication Sciences and Disorders Northwestern University Evanston Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,10,3]]},"reference":[{"key":"e_1_2_9_2_2","first-page":"306","article-title":"Middle ear operations","volume":"5","author":"Blake CJ","year":"1892","journal-title":"Tr Am Otol Soc"},{"volume-title":"Otosclerosis","year":"2007","author":"Wiet RJ","key":"e_1_2_9_3_2"},{"volume-title":"Surgery of the Ear","year":"1959","author":"Shambaugh GE","key":"e_1_2_9_4_2"},{"key":"e_1_2_9_5_2","first-page":"2650","article-title":"Mobilization of the stapes to restore hearing in otosclerosis","volume":"53","author":"Rosen S","year":"1953","journal-title":"N Y State J Med"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348945806700403"},{"key":"e_1_2_9_7_2","first-page":"63","article-title":"\u201cStapedotomy\u201d technique and results","volume":"6","author":"Marquet J","year":"1985","journal-title":"Am J Otol"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198002000-00007"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199509000-00005"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200409000-00008"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70103-6"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1981.tb01787.x"},{"key":"e_1_2_9_13_2","first-page":"173","article-title":"Survival and evolution of vein grafts in otosclerosis surgery: structural and ultrastructural evidence","volume":"13","author":"Lopez A","year":"1992","journal-title":"Am J Otol"},{"key":"e_1_2_9_14_2","first-page":"206","article-title":"Advantages and risks of various sealing procedures of the oval window: vein graft, adipose tissue, gelfoam, merogel","volume":"65","author":"Incesulu A","year":"2007","journal-title":"Adv Otorhinolaryngol"},{"key":"e_1_2_9_15_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1969.00770020406031"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1969.00770020422035"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599812463184","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599812463184","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599812463184","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:55:07Z","timestamp":1760957707000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599812463184"}},"subtitle":["A Comparison of Fat, Fascia, and Vein Tissue Seals"],"short-title":[],"issued":{"date-parts":[[2012,10,3]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,1]]}},"alternative-id":["10.1177\/0194599812463184"],"URL":"https:\/\/doi.org\/10.1177\/0194599812463184","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2012,10,3]]},"assertion":[{"value":"2012-06-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-09-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2012-10-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}