Evidence map›Paper›PMID 31364383›Full record

ReviewThe Annals of otology, rhinology, and laryngology2019

Clinical Approach After Complicated Ear Mold Fitting: A Case Series of Six Patients and Evaluation of Literature.

Cindy van den Boer, Erik van Spronsen, Carlijn T Q Holland, Fenna A Ebbens, Jérôme J Waterval

Abstract readCase ReportsReview
In one paragraph

Review in The Annals of otology, rhinology, and laryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cindy van den BoerDepartment of Otorhinolaryngology, Radboudumc, Nijmegen, Netherlands.ORCID https://orcid.org/0000-0003-0051-9534
Erik van SpronsenDepartment of Otorhinolaryngology, Amsterdam UMC, Amsterdam, Netherlands.
Carlijn T Q HollandDepartment of Otorhinolaryngology, Amsterdam UMC, Amsterdam, Netherlands.
Fenna A EbbensDepartment of Otorhinolaryngology, Amsterdam UMC, Amsterdam, Netherlands.
Jérôme J WatervalDepartment of Otorhinolaryngology, Amsterdam UMC, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesInsertion of mold material into the middle ear is a complication of molding procedure for ear impression. These cases are referred to an ENT specialist. There is no standardized approach to this problem. Literature shows different clinical strategies. The aim of this study is to share our experience and to analyze the adverse outcome of different clinical approaches.

methodsA case series of six patients with molding material inside the middle ear after complicated molding procedure for swimming earplugs are described. Additionally, available literature was reviewed to analyze results of the clinical approach after iatrogenic molding procedures. Forty-nine ears were included.

resultsIn-office removal of the material is associated with a significant risk of adverse outcome if the eardrum cannot be examined. This also accounts for ossicular involvement.

conclusionsTemporal bone CT is advised in patients after complicated ear mold fitting if the tympanic membrane cannot be examined completely or the middle ear is involved. Blind removal should be avoided. Retroauricular transcanal tympanotomy or transmastoidal tympanotomy with facial recess approach is best practice in case the mold material has entered the middle ear. A clinical treatment algorithm is presented.

Indexed as

Ear, MiddleAdolescentAdultChildChild, PreschoolFemaleForeign BodiesHearing AidsHumansMaleMiddle Ear VentilationProsthesis FittingTympanic Membrane Perforationear mold impression materialhearing aidsmiddle earmiddle ear foreign bodyotologic surgical proceduresotology

Identifiers

PMID31364383
PMCPMC6843603

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.