{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:03:05Z","timestamp":1790856185507,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T00:00:00Z","timestamp":1458000000000},"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":[[2016,6]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To assess and compare the efficacy of diode laser stapedotomy (DLS) and conventional manual stapedotomy (CMS) in the treatment of otosclerosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Randomized clinical trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary health center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>We randomly assigned 60 patients with otosclerosis planned for primary stapedotomy to receive either DLS or CMS. Primary outcome measure was hearing gain measured by pure\u2010tone audiometry (PTA) performed preoperatively and postoperatively. Hearing gain was compared within and between the groups. Secondary outcome measures were the incidence of intraoperative (bleeding and fractured footplate) and postoperative (vomiting, vertigo, sensorineural hearing loss, tinnitus, facial nerve paralysis, and hospital stay) morbidities.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty primary stapedotomies (30\u00a0in the CMS group and 30\u00a0in the DLS group) done for 60 patients (male, n = 42; female, n = 18) were included in the analysis. Preoperative mean air\u2010bone (AB) gap in the DLS and CMS groups was 38.51 \u00b1 8.643\u00a0dB and 36.42 \u00b1 8.678\u00a0dB, respectively. Mean AB gap at 6\u00a0month was 10.86 \u00b1 5.383\u00a0dB and 11.05 \u00b1 5.236\u00a0dB in the CMS and DLS groups, respectively. Air conduction was improved by 24.98 \u00b1 5.348\u00a0dB in the DLS group and 24.08 \u00b1 5.911\u00a0dB in the CMS group at 6\u00a0months. No statistically significant differences were found in hearing gain between the 2\u00a0groups at 6\u00a0months (<jats:italic>P<\/jats:italic> &gt;. 05). A decreased rate and severity of intraoperative bleeding, postoperative vertigo, and vomiting were observed with the diode laser (0%, 6.6%, and 10%) compared with the conventional technique (16.7%, 16.7%, and 16.7%), but these differences were not statistically significant (<jats:italic>P<\/jats:italic> &gt;. 05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Hearing outcomes and complications of DLS were similar to CMS. These study findings confirm the efficacy of the diode laser in stapedotomy, but DLS offers no advantages over CMS for otosclerosis surgery.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599816635132","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T22:19:28Z","timestamp":1458080368000},"page":"1099-1105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Diode Laser Stapedotomy vs Conventional Stapedotomy in Otosclerosis"],"prefix":"10.1002","volume":"154","author":[{"given":"Pradipta Kumar","family":"Parida","sequence":"first","affiliation":[{"name":"Department of ENT Jawaharlal Institute of Post Graduate Medical Education and Research Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Kalaiarasi","sequence":"additional","affiliation":[{"name":"Department of ENT Jawaharlal Institute of Post Graduate Medical Education and Research Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surianarayana","family":"Gopalakrishnan","sequence":"additional","affiliation":[{"name":"Department of ENT Jawaharlal Institute of Post Graduate Medical Education and Research Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198906001-00002"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198002000-00007"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198309000-00014"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)31475-4"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198906001-00002"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20772"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318164d140"},{"key":"e_1_2_8_9_1","first-page":"1391","article-title":"Therapeutic effects of small fenestra stapedotomy with semiconductor diode laser: a comparison with microdrill","volume":"28","author":"Feng XH","year":"2008","journal-title":"Nan Fang Yi Ke Da Xue Xue Bao"},{"key":"e_1_2_8_10_1","first-page":"434","article-title":"Pilot study on the diode laser in stapes surgery","volume":"61","author":"Navarrete ML","year":"2010","journal-title":"Acta Otorrinolaringol Esp"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000385"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/010503900750042752"},{"key":"e_1_2_8_13_1","first-page":"277","article-title":"The hearing results in otosclerosis after stapedotomy","volume":"42","author":"Baradaranfar MH","year":"2004","journal-title":"Acta Medica Iranica"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.2478\/abm-2010-0052"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599816635132","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599816635132","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599816635132","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:25:13Z","timestamp":1760966713000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599816635132"}},"subtitle":["A Double\u2010Blinded Randomized Clinical Trial"],"short-title":[],"issued":{"date-parts":[[2016,3,15]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,6]]}},"alternative-id":["10.1177\/0194599816635132"],"URL":"https:\/\/doi.org\/10.1177\/0194599816635132","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,3,15]]},"assertion":[{"value":"2015-11-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-02-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-03-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}