Evidence map›Paper›PMID 39838599›Full record

ArticleMedical science monitor : international medical journal of experimental and clinical research2025

Role of the Carhart Effect and Outcomes from Surgery: A Retrospective Study of 532 Patients with Conductive Hearing Loss Due to Otosclerosis, Otitis Media with Effusion, and Chronic Otitis Media.

Kamila Szpak, Agnieszka Wiatr, Maciej Wiatr

Abstract read
In one paragraph

Article in Medical science monitor : international medical journal of experimental and clinical research, 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

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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. Disease-specificity in correlations between speech audiometry, hearing-related quality of life, and varying calculation methods for pure tone average in middle ear diseases.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
    Observational
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

3 authors.

Kamila SzpakDepartment of Otolaryngology, University Hospital, Cracow, Poland.ORCID 0000-0002-4951-2758
Agnieszka WiatrDepartment of Otolaryngology, Jagiellonian University Medical College, Cracow, Poland.ORCID 0000-0002-1793-0744
Maciej WiatrDepartment of Otolaryngology, Jagiellonian University Medical College, Cracow, Poland.ORCID 0000-0003-0840-9268

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND The Carhart effect consists of a reduction in bone conduction thresholds associated with conductive hearing loss. The aim of this study was to evaluate the role of the Carhart effect in predicting outcomes from surgery in 3 age groups. MATERIAL AND METHODS This study included 532 patients with conductive hearing loss due to otosclerosis, otitis media with effusion, and chronic otitis media who underwent surgery between 2010 and 2020. RESULTS The depth of the Carhart effect is a favorable prognostic factor for changes in BC (bone conduction) thresholds after ear surgery in younger patients. A deep Carhart effect in older people is an unfavorable prognostic factor for improving BC thresholds. The restoration of physiological amplification of the sound that was transmitted through the ossicular chain led to a statistically significant change in the Carhart effect and a strong positive correlation between the change in the Carhart effect and the change in average BC thresholds. The influence of the Carhart effect on the postoperative change in the ABG (air-bone gap) is most noticeable when the physiological strengthening of the middle ear is maintained. CONCLUSIONS This findings from this study have shown that the depth of the Carhart effect is one of many factors that should be considered when predicting the results of ear surgery. The depth of the Carhart effect is a favorable prognostic factor for the postoperative changes in BC threshold and for change in the ABG when the physiological strengthening of the middle ear is maintained.

Indexed as

Hearing Loss, ConductiveOtitis MediaOtitis Media with EffusionOtosclerosisAdolescentAdultAgedAuditory ThresholdBone ConductionChronic DiseaseFemaleHumansMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID39838599
PMCPMC11771058

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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.