{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T12:41:26Z","timestamp":1774442486748,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"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":[[2019,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to provide a proof of concept and to assess the success and safety of stapes surgery for otosclerosis under local anesthesia in an office\u2010based setting (OBS) as compared with a hospital operating room setting (ORS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>We reviewed all patients who underwent stapes surgery by the same surgeon from October 2014 to January 2017 at our tertiary care center (ORS, n = 36, 52%) and in an OBS (n = 33, 48%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The surgical technique was identical in both groups. All patients had a temporal bone computed tomography scan and audiogram within the 6\u00a0months prior to surgery. Air\u2010bone gaps (ABGs), bone conduction, and air conduction pure tone average values were calculated. Preoperative results for pure tone average, bone conduction, ABG, and word recognition scores were compared with early (4\u00a0months) and late (12\u00a0months) follow\u2010up audiograms. Intra\u2010 and postoperative complications were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Both groups were comparable in terms of demographic characteristics and severity of disease. The mean 1\u2010year postoperative ABG was 5.66\u00a0dB (95% CI = 4.42\u20106.90) in the ORS group and 6.30\u00a0dB (95% CI = 4.50\u20108.10) in the OBS group (<jats:italic>P<\/jats:italic> =. 55). ABG improved by 24.27\u00a0dB (95% CI = 21.40\u201027.13) in the ORS group and 23.15\u00a0dB (95% CI = 18.45\u201027.85) in the OBS group (<jats:italic>P<\/jats:italic> =. 68). Complication rates did not differ, although this study remains underpowered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this small group of patients, the success of stapes surgery performed in an OBS and its complications were comparable to those of an ORS, thus providing an alternative to patients on long operating room waiting lists.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599819877652","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T04:06:29Z","timestamp":1569902789000},"page":"1018-1026","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Office\u2010Based Stapes Surgery"],"prefix":"10.1002","volume":"161","author":[{"given":"B\u00e9atrice","family":"Voizard","sequence":"first","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery\u2013Otology and Neurotology Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Maniakas","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery\u2013Otology and Neurotology Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issam","family":"Saliba","sequence":"additional","affiliation":[{"name":"Division of Otorhinolaryngology Head and Neck Surgery\u2013Otology and Neurotology Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al Montr\u00e9al Qu\u00e9bec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"273","article-title":"Ambulatory surgery of otosclerosis: retrospective study of 102 cases","volume":"122","author":"Rose X","year":"2001","journal-title":"Rev Laryngol Otol Rhinol (Bord)"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813493393"},{"key":"e_1_2_8_4_1","first-page":"2211","volume-title":"Cummings Otolaryngology\u2013Head and Neck Surgery","author":"House JW"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812458401"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812437156"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.4137\/CMENT.S27284"},{"key":"e_1_2_8_8_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_9_1","first-page":"804","article-title":"Long\u2010term results after stapedectomy versus stapedotomy","volume":"15","author":"Kursten R","year":"1994","journal-title":"Am J 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