Evidence map›Paper›PMID 39109802›Full record

ArticleThe Laryngoscope2025

Histopathological Patterns of Otosclerosis Progression: Exploring Otic Capsule and Round Window Involvement.

Tomotaka Shimura, Nevra Keskin Yilmaz, Artur Koerig Schuster, Grace Song, Emre Abdullah Cureoglu, Sei Kobayashi, Dilshan Rajan, Rafael da Costa Monsanto

Abstract read
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Tomotaka ShimuraDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.ORCID 0000-0003-1164-6977
Nevra Keskin YilmazDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.ORCID 0000-0002-6287-1157
Artur Koerig SchusterDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.ORCID 0000-0002-1431-3855
Grace SongDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.
Emre Abdullah CureogluDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.
Sei KobayashiDepartment of Otorhinolaryngology, Showa University Fujigaoka Hospital, Yokohama, Japan.
Dilshan RajanDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.
Rafael da Costa MonsantoDepartment of Otolaryngology Head & Neck Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.ORCID 0000-0002-9124-593X

Funding

Resource Center for Human Temporal Bone Research, Innovation, and EducationU24DC020851 · NIDCD · UNIVERSITY OF MINNESOTA · PI Meredith Evelyn Adams, SEBAHATTIN CUREOGLU · 2022 to 2026
$4.6M
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil CAPES- Finance Code:001International Hearing FoundationNational Institutes of Health / National Institute on Deafness and Other Communication Disorders U24 DC020851-01NIDCD NIH HHS U24 DC020851Technological Research Council of Türkiye (TUBITAK)
6 · The paper itself

Abstract

objectivesObliteration of the round window (RW) in cases of otosclerosis presents a significant clinical challenge due to its association with more severe hearing loss and a poorer prognosis for functional recovery after stapes surgery. The objective is to assess and characterize the occurrence of RW involvement in otosclerosis cases and to identify patterns of disease progression that may indicate a potential for RW obliteration.

methodsWe selected archival temporal bones from donors with otosclerosis. We evaluated the degree of RW obliteration using a semi-quantitative scale and the location of the foci within the temporal bone, and whether the foci were continuous or isolated.

resultsMost of the foci were located anteriorly to the oval window (89.2%), while RW area involvement was seen in 26.9% of the ears. In cases with fenestral foci, 68.1% directly involved and/or fixed the footplate. Among donors with bilateral otosclerosis, foci affected both ears in a similar pattern in 64.2%. Among donors with RW involvement, ones with continuous, large lesions that extended from the oval window associated with complete RW obliteration, while ones with smaller degrees of obliteration had solitary foci scattered within the otic capsule.

conclusionOur results demonstrate a high rate of RW involvement in cases of otosclerosis. Ears with continuous lesions extending from the oval window region to the RW area were more likely to present with complete RW obliteration. These results provide insights that could lead to better prognostic assessment of patients with otosclerosis in the future. LEVEL OF EVIDENCE: NA Laryngoscope, 135:324-330, 2025.

Indexed as

Disease ProgressionOtosclerosisRound Window, EarTemporal BoneAdultAgedFemaleHumansMaleMiddle AgedStapes Surgeryotopathologyotosclerosisoval windowround window

Identifiers

PMID39109802
PMCPMC11635137

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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.