Evidence map›Paper›PMID 32097057›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2020

High-Frequency Conductive Hearing following Total Drum Replacement Tympanoplasty.

Marc D Polanik, Danielle R Trakimas, Nicole L Black, Jeffrey T Cheng, Elliott D Kozin, Aaron K Remenschneider

Open access · greenAbstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Randomized Comparison of Endoscopic Cartilage-Perichondrium Sandwich Technique Verses Underlay Technique for Large Tympanic Membrane Perforations.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Trial
  2. A 21-gauge syringe needle technique for malleus skeletonization and middle ear dissection.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  3. The Transmission of Sound to the Cochlea in Normal and Pathological Human Middle Ears.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Review
  4. Article
  5. Extended High-frequency Audiometry in the Elderly: A Narrative Review.The journal of international advanced otology · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Mechanics of Total Drum Replacement Tympanoplasty Studied With Wideband Acoustic Immittance.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022
    Article
  11. Does stapedotomy improve high frequency conductive hearing?Laryngoscope investigative otolaryngology · 2021
    Article
  12. Article
  13. Do high-frequency air-bone gaps persist after ossiculoplasty?Laryngoscope investigative otolaryngology · 2020
    Article
  14. Endoscopic Type I Tympanoplasty: Comparative Outcomes of Autograft, Allograft, and Xenograft.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

6 authors at 4 institutions in 1 country.

Marc D PolanikDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Danielle R TrakimasDepartment of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Nicole L BlackDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Jeffrey T ChengDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Elliott D KozinDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Aaron K RemenschneiderDepartment of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, USA.
Massachusetts Eye and Ear Infirmary · USHarvard University · USJohns Hopkins University · USUniversity of Massachusetts Chan Medical School · US

Funding

Middle Ear Nonlinearity in High Intensity Sound: Impact on Hearing Damage and ProtectionR01DC016079 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Jeffrey Tao Cheng · 2017 to 2026
$4.1M
NIDCD NIH HHS R01 DC016079
6 · The paper itself

Abstract

objectivesConventional reporting of posttympanoplasty hearing outcomes use a pure-tone averaged air-bone gap (ABG) largely representing a low-frequency sound conduction. Few studies report high-frequency conductive hearing outcomes. Herein, we evaluate high-frequency ABG in patients following temporalis fascia total drum replacement. STUDY

designCase series with chart review.

settingTertiary care center. SUBJECTS AND

methodsAll patients who underwent type 1 tympanoplasty using a lateral graft total drum replacement technique between August 2016 and February 2019 were identified. Patients with pre- and postoperative audiograms were included. Low-frequency ABG was calculated as the mean ABG at 250, 500, and 1000 Hz. High-frequency ABG was calculated at 4 KHz. Pre- and postoperative ABGs were compared.

resultsTwenty-three patients were included, and the mean age at surgery was 44 years (range, 9-68 years). Perforation etiology was from trauma (n = 14) or chronic otitis media (n = 9). Preoperative mean low-frequency ABG was 27.8 ± 12.6 dB and mean high-frequency ABG was 21.5 ± 15.1 dB (

conclusionIn a series of patients undergoing temporalis fascia total drum replacement, low-frequency ABG improved; however, high-frequency conductive hearing loss persists. Conventional methods of reporting ABG may not identify persistent high-frequency ABG. These results merit further study across a range of tympanoplasty graft materials and surgical techniques.

Indexed as

AdolescentAdultAgedAudiometry, Pure-ToneBone ConductionChildEar, MiddleFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative PeriodRetrospective StudiesTreatment OutcomeTympanic Membrane Perforationconductive hearing losshearing losshigh-frequency hearing losstotal drum replacementtympanoplasty

Identifiers

PMID32097057
PMCPMC8023041
OpenAlexW3008531996

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.