Evidence map›Paper›PMID 40329039›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 Surgery2025

Long-term outcomes of tympanoplasty with persistent air-bone gap in adults with chronic otitis media: hearing, health care utilization and quality of life.

Susan Arndt, Olivier Deguine, Jérôme Nevoux, Serafin Sánchez, Miray-Su Yılmaz Topçuoğlu, Christiane D'hondt, Håkan Hua, Ray Lin, Xabier Altuna

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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, 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. 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

9 authors.

Susan ArndtDepartment of Otorhinolaryngology - Head and Neck Surgery, Faculty of Medicine, Medical Center - University of Freiburg, Killianstrasse 5, Freiburg, Germany.ORCID http://orcid.org/0000-0001-6970-8750
Olivier DeguineDepartment of Otolaryngology, Purpan Hospital Toulouse, Place du Dr Baylac, Toulouse, France.
Jérôme NevouxAP-HP, Department of Otolaryngology, Hôspital Bicêtre Paris Saclay, Le Kremlin- Bicêtre, France.
Serafin SánchezUniversity Hospital Virgen Macarena, Avenida Dr. Fedriani 3, Seville, Spain.
Miray-Su Yılmaz TopçuoğluDepartment of Otorhinolaryngology, University Hospital Heidelberg, Im Neuenheimer Feld 400, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-7784-7822
Christiane D'hondtCochlear Limited, 1 University Ave Macquarie University, Sydney, Australia.
Håkan HuaCochlear Limited, 1 University Ave Macquarie University, Sydney, Australia. hahua@cochlear.com.ORCID http://orcid.org/0000-0001-6758-8097
Ray LinCochlear Limited, 1 University Ave Macquarie University, Sydney, Australia.
Xabier AltunaDepartment of Otorhinolaryngology Head and Neck Surgery, University Hospital Donostia, San Sebastián, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate long-term hearing outcomes, healthcare utilization, and health-related quality of life (HRQoL) in adults with chronic otitis media (COM) who underwent primary tympanoplasty (PT) but were left with a significant air-bone gap (25-30 dB).

methodsA retrospective medical chart review was conducted to assess the standard of care for COM patients across three European countries, analyzing hearing data, healthcare utilization, and demographics. Additionally, HRQoL and hearing disability were assessed prospectively using questionnaires. Sixty-nine adults diagnosed with COM who underwent PT between 2010 and 2016 were included.

resultsAverage hearing outcomes showed minimal to no improvement, with a substantial number of patients experiencing moderate to severe hearing loss post-PT. Many continued to rely on rehabilitative technologies, with bone conduction hearing device (BCHD) users reporting higher consistent use compared to conventional hearing aid users. Participants required an average of 7.6 healthcare visits with a mean follow-up time of 7.64 years after PT, underscoring the ongoing burden on healthcare systems. Impaired hearing negatively impacted both general and disease-specific HRQoL.

conclusionManaging COM remains challenging due to the variability in surgical outcomes, particularly regarding hearing restoration. The high post-PT healthcare utilization and persistent HRQoL impairments caused by impaired hearing highlight the need for more effective rehabilitative strategies such as conventional hearing aids and BCHD.

Indexed as

Otitis MediaPatient Acceptance of Health CareQuality of LifeTympanoplastyAdultAgedBone ConductionChronic DiseaseFemaleHearingHearing AidsHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAural rehabilitationChronic otitis mediaHearing lossQuality of lifeSurgical outcomes

Identifiers

PMID40329039
PMCPMC12518485

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Registered trials

None linked

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.