{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:32:56Z","timestamp":1761006776013,"version":"build-2065373602"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T00:00:00Z","timestamp":1437004800000},"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":[[2015,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>(1) To describe the use of total ossicular prostheses (TOPs) in the setting of stapedectomy requiring an incus bypass procedure. (2) To analyze the short\u2010 and long\u2010term audiometric results of TOP utilization in the setting of stapedectomy for an incus bypass procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary neurotologic referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Seventeen cases of TOP reconstruction after stapedectomy were performed due to advanced incus erosion. The cases were assessed for pre\u2010 and postoperative bone conduction and air conduction pure\u2010tone averages (PTAs; 0.5, 1, 2, 3\u00a0kHz), including high\u2010tone bone conduction (1, 2, 4\u00a0kHz), air\u2010bone gap, and speech discrimination scores. Hearing outcomes were measured: short\u2010term (3 weeks) and long\u2010term (average, 22\u00a0months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 17 ears undergoing revision stapedectomy managed with TOP reconstruction, the average number of previous revision attempts was 1.0 (SD, 1; range, 1\u20105). The preoperative bone conduction PTA was 30.7\u00a0dB preoperatively, while the preoperative air conduction PTA was 64.3\u00a0dB. The mean postoperative air\u2010bone gap significantly decreased to 18.9\u00a0dB (SD, 12.7; range, 5\u201046.25; <jats:italic>P<\/jats:italic> &lt;. 003) with a mean follow\u2010up of 22.2\u00a0months (SD, 25.0; range, 0.75\u201078). No significant decrement in high\u2010tone bone conduction PTA was observed (mean, 0\u00a0dB; SD, 12.8; range, \u201336.7 to 20; <jats:italic>P<\/jats:italic> =. 427); however, 1 ear revealed a severe decrease in PTA and speech discrimination score postoperatively. No further revisions were noted in follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TOP reconstruction in the setting of previous revision stapedectomy with limited incudovestibular reconstructive options may lead to favorable hearing outcomes, but it carries an increased risk of sensorineural hearing loss.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815593741","type":"journal-article","created":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T22:50:10Z","timestamp":1437087010000},"page":"1013-1018","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Hearing Outcomes after Revision Stapedectomy Managed with Total Ossicular Prostheses"],"prefix":"10.1002","volume":"153","author":[{"given":"J. Eric","family":"Lupo","sequence":"first","affiliation":[{"name":"House Ear Clinic University of Southern California Keck School of Medicine Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian M.","family":"Strickland","sequence":"additional","affiliation":[{"name":"University of Southern California Keck School of Medicine Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"House","sequence":"additional","affiliation":[{"name":"House Ear Clinic University of Southern California Keck School of Medicine Los Angeles California USA"},{"name":"University of Southern California Keck School of Medicine Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,7,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489709117998"},{"key":"e_1_2_8_3_1","first-page":"52","article-title":"Forty years of stapes surgery","volume":"19","author":"Shea JJ.","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200211000-00025"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000235311.80066.df"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200307000-00005"},{"key":"e_1_2_8_7_1","first-page":"387","article-title":"Primary and revision stapedectomy in elderly patients","volume":"12","author":"Meyer TA","year":"2004","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198203000-00007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(95)70103-6"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812458401"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198309000-00006"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199303000-00016"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181c2a009"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200309000-00020"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3182255968"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181f7ab32"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000496"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000580"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000524"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500412"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200111000-00011"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200409000-00008"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198308000-00002"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.111285"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815593741","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599815593741","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815593741","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T10:14:30Z","timestamp":1760955270000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599815593741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,16]]},"references-count":23,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2015,12]]}},"alternative-id":["10.1177\/0194599815593741"],"URL":"https:\/\/doi.org\/10.1177\/0194599815593741","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2015,7,16]]},"assertion":[{"value":"2015-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-06-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-07-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}