Evidence map›Paper›PMID 40304729›Full record

SynthesisEuropean 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 Surgery2025

Outcomes of combined tympanoplasty and eustachian tuboplasty versus tympanoplasty alone: A systematic review and meta-analysis.

Mohammed A Al-Hamoud, Mona A AlShehri, Azza M Al-Marir, Aishah S Alshahrani, Majed Assiri, Fares E ALGhamdi

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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, 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

6 authors.

Mohammed A Al-HamoudDepartment of Otorhinolaryngology-Head and Neck Surgery, Ahad Rufaidah General Hospital, Aseer Health Cluster, Abha, Saudi Arabia. moh.alhamoud14@gmail.com.ORCID http://orcid.org/0000-0002-4667-7936
Mona A AlShehriDepartment of Otorhinolaryngology-Head and Neck Surgery, Aseer Central Hospital, Aseer Health Cluster, Abha, Saudi Arabia.
Azza M Al-MarirDepartment of Otorhinolaryngology-Head and Neck Surgery, Aseer Central Hospital, Aseer Health Cluster, Abha, Saudi Arabia.
Aishah S AlshahraniDepartment of Otorhinolaryngology-Head and Neck Surgery, Aseer Central Hospital, Aseer Health Cluster, Abha, Saudi Arabia.
Majed AssiriDepartment of Otorhinolaryngology-Head and Neck Surgery, Cochlear Implant Centre, Aseer Health Cluster, Abha, Saudi Arabia.
Fares E ALGhamdiDepartment of Otorhinolaryngology-Head and Neck Surgery, King Abdullah Medical City, Makkah Health Cluster, Makkah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEustachian tube dysfunction plays a crucial role in the pathophysiology of chronic otitis media and impacts surgical outcomes of tympanoplasty. We aimed to assess the outcomes of combined tympanoplasty with eustachian tuboplasty compared to tympanoplasty alone with respect totes graft success rate, hearing outcome, tympanometry measures, and improvement of eustachian tube function.

methodsThis review has been registered in the Prospective Register of Systematic Reviews. (CRD42024614970) and was conducted according to the PRISMA guidelines. Four major databases-PubMed, ScienceDirect, Web of Science, and Google Scholar-were used for the electronic search to identify relevant studies.

resultsSeven studies involving 386 patients were included; 195 (50.5%) and 191 patients (49.5%) were assigned to the tympanoplasty plus eustachian tuboplasty and tympanoplasty alone groups, respectively. The meta-analysis revealed significant improvements in graft success rates (Odds Ratio = 1.90, 95% CI: 1.02 to 3.54, p = 0.042), air-bone gap (MD = -2.07, 95% CI: -3.78 to -0.36, p = 0.018), and eustachian tube scores (Mean difference = 2.00, 95% CI: 0.02 to 3.98, p = 0.048) in the combined group compared to in the control group. Only minor complications were observed in some studies, such as mild tympanic membrane retraction, graft myringitis, and temporary patulous eustachian tubes.

conclusionCombining tuboplasty with tympanoplasty is an effective procedure with significant improvements in graft success rates, hearing outcomes, and eustachian tube function scores. Eustachian tuboplasty is a safe and successful procedure with very few potential complications.

Indexed as

Eustachian TubeOtitis MediaTympanoplastyAcoustic Impedance TestsChronic DiseaseHumansTreatment OutcomeChronic otitis mediaEustachian tube dysfunctionEustachian tuboplastyTympanoplasty

Identifiers

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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.