ReviewCureus2025
Impact of Fenestration Size and Prosthesis Diameter on Hearing Outcomes After Stapedotomy: A Review.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- FEA Simulation of Crimping Pressure Distribution in Titanium and Teflon Stapedotomy Prostheses.Materials (Basel, Switzerland) · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This systematic review investigates the influence of fenestration size and prosthesis diameter on hearing outcomes in patients undergoing primary stapedotomy for otosclerosis. A total of 11 studies were included, comprising randomized controlled trials, cohort studies, and one cross-sectional study, with follow-up durations ranging from three months to one year. Fenestration sizes most commonly ranged from 0.5 mm to 0.8 mm, while prosthesis diameters varied between 0.4 mm and 0.6 mm. Across studies, postoperative air conduction thresholds improved by 20-30 dB, and air-bone gap (ABG) closure within 10 dB was achieved in 57% to 88.9% of cases. Although some studies reported marginally better bone conduction gains with 0.6 mm prostheses, no definitive audiological superiority was established for any specific fenestration-prosthesis size combination. The use of larger prosthesis diameters was associated with modest improvements in mid-frequency sound transmission, particularly at 2000 Hz, but these differences were often not statistically significant. Postoperative complications were minimal, with transient vertigo being the most commonly reported, especially in laser-assisted techniques. Importantly, no study linked complication rates directly to specific fenestration or prosthesis sizes. Overall, the findings suggest that both fenestration size and prosthesis diameter within the commonly used ranges yield consistently favorable audiological outcomes without significantly affecting safety. The choice of prosthesis size may be tailored to individual anatomical and surgical considerations without compromising efficacy. This review highlights the flexibility in surgical approach for stapedotomy, supporting the use of varying size parameters according to intraoperative conditions and surgeon preference.
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Registered trials
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