Evidence map›Paper›PMID 39371878›Full record

ArticleCureus2024

Intra-operative Measurement of Eustachian Tube Orifice, and Its Correlation With Post-operative Surgical Outcome in Chronic Suppurative Otitis Media Patients.

Mohan Raaj, R N Karadi, Lathadevi Tht, Manali Ramana Bhat, Shashikumar T

Abstract read
In one paragraph

Article in Cureus, 2024. 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

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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

5 authors.

Mohan RaajOtolaryngology - Head and Neck Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.
R N KaradiOtolaryngology - Head and Neck Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.
Lathadevi ThtOtolaryngology - Head and Neck Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.
Manali Ramana BhatOtolaryngology - Head and Neck Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.
Shashikumar TOtolaryngology - Head and Neck Surgery, Shri B. M. Patil Medical College Hospital and Research Centre, Bijapur Lingayat District Educational (BLDE) Association (Deemed to be University), Vijayapura, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Chronic suppurative otitis media (CSOM) is the inflammation of the middle ear mucosa for more than two weeks, resulting in ear discharge. It is associated with hearing loss and the presence of a perforation in the tympanic membrane. Tympanoplasty is performed to place a graft and clear the disease in the middle ear. Despite adequate disease clearance and proper graft placement, graft failure and disease persistence occur due to Eustachian tube (ET) dysfunction. The ET plays a significant role in the ventilation of the middle ear. Hence, this study was conducted to determine the significance of ET size for post-operative graft uptake. Methodology A total of 55 patients with inactive CSOM were included in the study. Their demographic data were recorded. Patients previously operated on for CSOM, cases with traumatic perforation of the tympanic membrane, congenital anomalies (e.g., cleft lip/cleft palate), and atticoantral disease were excluded. Thorough history taking and examination, including otoscopy and examination of the nose, throat, and oropharynx, were conducted. Once the patient was deemed fit for surgery, they underwent tympanoplasty. Intraoperatively, the ET size was measured using the tip of the suction cannulas. They were followed up after three months to assess graft uptake. Results Out of 55 patients included in the study, 42 (76%) had good graft uptake, while 13 (24%) had defects in graft uptake. Graft uptake failed in patients with an ET diameter of <3 mm. Post-operative graft uptake was observed in the majority of patients with a wider ET diameter, ranging between 3 mm and 6 mm, with a statistically significant p-value of 0.00 (0.05), as determined by Pearson's Chi-square test. Conclusion In our study, we found that there is an association between the ET diameter and post-operative graft uptake. Hence, a wider ET may improve middle ear ventilation and play an important role in post-operative graft uptake.

Indexed as

csom: chronic suppurative otitis mediaeustachian tube anatomyeustachian tube functiongraft uptaketubotympanic type

Identifiers

PMID39371878
PMCPMC11455274

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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.