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Surgical treatment of patients with far-advanced otosclerosis (FAO) has not yet been standardized. Patients with FAO are the candidates for stapes surgery or cochlear implant (CI). Although many surgeons consider stapes surgery as the first choice, other authors prefer CI because of the excellent hearing results. The authors discuss their experience in the treatment of patients with FAO, potentially candidates for CI, who underwent stapedotomy. Eleven adult patients with FAO underwent stapedotomy from 2006 to 2016. Pure-tone average (PT