Evidence map›Paper›PMID 34401508›Full record

ArticleLaryngoscope investigative otolaryngology2021

Does stapedotomy improve high frequency conductive hearing?

Prithwijit Roychowdhury, Marc D Polanik, Judith S Kempfle, Melissa Castillo-Bustamante, Cheryl Fikucki, Michael J Wang, Elliott D Kozin, Aaron K Remenschneider

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Titanium incus interposition in ossiculoplasty: A retrospective study.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
  2. Frequency-Specific Audit of Audiological Outcomes Following Stapedotomy for Otosclerosis.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  3. Article
  4. Article
  5. Does stapedotomy improve high frequency conductive hearing?Laryngoscope investigative otolaryngology · 2021
    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

8 authors at 3 institutions in 1 country.

Prithwijit RoychowdhuryDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-9609-9417
Marc D PolanikDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.
Judith S KempfleDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.
Melissa Castillo-BustamanteDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.
Cheryl FikuckiDepartment of Audiology UMASS Memorial Medical Center Worcester Massachusetts USA.
Michael J WangDepartment of Otolaryngology University of Massachusetts Medical School Worcester Massachusetts USA.
Elliott D KozinDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.ORCID https://orcid.org/0000-0002-0305-0682
Aaron K RemenschneiderDepartment of Otolaryngology-Head and Neck Surgery Massachusetts Eye and Ear Infirmary Boston Massachusetts USA.ORCID https://orcid.org/0000-0003-1974-1880
Massachusetts Eye and Ear Infirmary · USUMass Memorial Health Care · USUniversity of Massachusetts Chan Medical School · US

Funding

Mechanisms of Conductive Presbycusis in HumansK08DC018575 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI REMENSCHNEIDER, AARON KYLE · 2020 to 2024
$950k
NIDCD NIH HHS K08 DC018575
6 · The paper itself

Abstract

objectivesStapedotomy is performed to address conductive hearing deficits. While hearing thresholds reliably improve at low frequencies (LF), conductive outcomes at high frequencies (HF) are less reliable and have not been well described. Herein, we evaluate post-operative HF air-bone gap (ABG) changes and measure HF air conduction (AC) thresholds changes as a function of frequency.

methodsRetrospective review of patients who underwent primary stapedotomy with incus wire piston prosthesis between January 2016 and May 2020. Pre- and postoperative audiograms were evaluated. LF ABG was calculated as the mean ABG of thresholds at 250, 500, and 1000 Hz. HF ABG was calculated at 4 kHz.

resultsForty-six cases met criteria. Mean age at surgery was 54.0 ± 11.7 years. The LF mean preoperative ABG was 36.9 ± 11.0 dB and postoperatively this significantly reduced to 9.35 ± 6.76 dB, (

conclusionHearing improvement following stapedotomy is greater at low than high frequencies. Postoperative air bone gaps persist at 4 kHz. Further biomechanical and histopathologic work is necessary to localize postoperative high frequency conductive hearing deficits and improve stapedotomy hearing outcomes. LEVEL OF EVIDENCE: 4, retrospective study.

Indexed as

conductive hearing losshearing losshigh‐frequency hearing lossotosclerosisstapedotomy

Identifiers

PMID34401508
PMCPMC8356860
OpenAlexW3166023890

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.