Evidence map›Paper›PMID 36806910›Full record

ArticleEuropean 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 Surgery2023

Primary ossiculoplasties provide better hearing results than revisions: a retrospective cohort study.

Judit Kálmán, Tamás Horváth, Kornél Dános, László Tamás, Gábor Polony

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Article in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Endoscopic revision surgery for ossicular chain reconstruction: intraoperative findings and functional outcomes.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 · 2025
    Article
  3. Review
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 at 2 institutions in 1 country.

Judit KálmánDepartment of Otorhinolaryngology-Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Út 89-91., Budapest, 1106, Hungary.ORCID http://orcid.org/0000-0001-5515-7361
Tamás HorváthDepartment of Otorhinolaryngology-Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Maglódi Út 89-91., Budapest, 1106, Hungary.ORCID http://orcid.org/0000-0001-9617-8628
Kornél DánosDepartment of Otorhinolaryngology-Head and Neck Surgery, Semmelweis University, Szigony Utca 36., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0002-3829-8266
László TamásDepartment of Otorhinolaryngology-Head and Neck Surgery, Semmelweis University, Szigony Utca 36., Budapest, 1083, Hungary.ORCID http://orcid.org/0000-0003-3723-9149
Gábor PolonyDepartment of Otorhinolaryngology-Head and Neck Surgery, Semmelweis University, Szigony Utca 36., Budapest, 1083, Hungary. polony.gabor@med.semmelweis-univ.hu.ORCID http://orcid.org/0000-0001-5236-8139
Semmelweis University · HUBajcsy-Zsilinszky Kórház és Rendelőintézet · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy of ossicular chain reconstruction (OCR) in primary and revision surgeries, and to investigate the impact of the number of previous surgeries on hearing outcomes.

methodsRetrospective analysis of cases with OCR due to chronic otitis in a tertiary center between January 2018 and September 2021.

resultsAltogether, 147 cases of ossicle involvement were assessed. In 91.83% (n = 135) OCR was performed, 96.26% of them with titanium TORP/PORP (n = 130), two cases with autologous prosthesis and three with piston. Mean follow-up was 8.8 months. The ABG significantly improved in the total group (TORP/PORP) from a mean (SD) of 30.94 (15.55) to 19.76 (13.36) dB (p < 0.0001) with 60.86% success. The best results were achieved in primary OCR with PORP implantation without cholesteatoma (89.47%). Primary cases have a significantly higher success rate in contrary to revision surgeries (72.27%, vs. 52.00%, p = 0.032). The only relevant predictive factor proved to be the fact of revision (p = 0.029). A statistically significant correlation between the number of previous surgeries and hearing results could not be proved. There was no difference in hearing outcomes between patients with only one or more than one previous surgeries in the revision groups. Neither the presence of cholesteatoma, nor the type of OCR (TOPR/PORP) and the indication of revision had an impact on postoperative ABG.

conclusionsTitanium prostheses are effective in OCR both in primary and revision cases. It is not the number of previous surgeries, but the fact of revision that influences postoperative hearing results.

Indexed as

Cholesteatoma, Middle EarOssicular ProsthesisOssicular ReplacementHearingHumansRetrospective StudiesTitaniumTreatment OutcomeTympanoplastyTitaniumOssicular chain reconstructionPredictive factorsRevision surgeryTitanium ossiculoplastyTORP/PORP

Identifiers

PMID36806910
PMCPMC10219860
OpenAlexW4321325617

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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.