ArticleJournal of clinical medicine2019
"Third Window" and "Single Window" Effects Impede Surgical Success: Analysis of Retrofenestral Otosclerosis Involving the Internal Auditory Canal or Round Window.
Article in Journal of clinical medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Learning Curve for COLaryngoscope investigative otolaryngology · 2025Article
- Role of the Carhart Effect and Outcomes from Surgery: A Retrospective Study of 532 Patients with Conductive Hearing Loss Due to Otosclerosis, Otitis Media with Effusion, and Chronic Otitis Media.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Improved Bone Conduction Hearing After Middle Ear Surgery: Investigation of the Improvement Mechanism.Clinical and experimental otorhinolaryngology · 2023Article
- Longitudinal analysis of surgical outcome in subjects with pulsatile tinnitus originating from the sigmoid sinus.Scientific reports · 2020Article
- Vestibulocochlear Symptoms Caused by Vertebrobasilar Dolichoectasia.Clinical and experimental otorhinolaryngology · 2020Article
- The Forgotten Second Window: A Pictorial Review of Round Window Pathologies.AJNR. American journal of neuroradiology · 2020Review
- Pre-treatment Ongoing Cortical Oscillatory Activity Predicts Improvement of Tinnitus After Partial Peripheral Reafferentation With Hearing Aids.Frontiers in neuroscience · 2020Article
- Biomechanics of Third Window Syndrome.Frontiers in neurology · 2020Review
- Beware of a Fragile Footplate: Lessons from Ossiculoplasty in Patients with Ossicular Anomalies Related to Second Pharyngeal Arch Defects.Journal of clinical medicine · 2019Article
- Third Window Syndrome: Surgical Management of Cochlea-Facial Nerve Dehiscence.Frontiers in neurology · 2019Article
- Changes in the Resting-State Cortical Oscillatory Activity 6 Months After Modified Tinnitus Retraining Therapy.Frontiers in neuroscience · 2019Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesWe aimed to identify prognostic computed tomography (CT) findings in retrofenestral otosclerosis, with particular attention paid to the role of otosclerotic lesion area in predicting post-stapedotomy outcome. MATERIALS AND
methodsWe included 17 subjects (23 ears) with retrofenestral otosclerosis who underwent stapedotomy. On preoperative CT, the presence of cavitating lesion and involvement of various subsites (cochlea, round window [RW], vestibule, and semicircular canal) were assessed. Pre- and post-stapedotomy audiometric results were compared according to the CT findings. The surgical outcomes were analyzed using logistic regression with Firth correction.
resultsCavitating lesions were present in 15 of 23 ears (65.2%). Involvement of the RW was the strongest predictor of unsuccessful surgical outcome, followed by involvement of the internal auditory canal (IAC) and the cochlea.
conclusionsRW and IAC involvement in retrofenestral otosclerosis were shown to predict unsuccessful outcomes. While a "third window" effect caused by extension of a cavitating lesion into the IAC may dissipate sound energy and thus serve as a barrier to desirable postoperative audiological outcome, a "single window" effect due to an extension of retrofenestral otosclerosis into the RW may preclude a good surgical outcome, even after successful stapedotomy, due to less compressible cochlear fluid and thus decreased linear movement of the piston.
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