Evidence map›Paper›PMID 41459784›Full record

ArticleThe Laryngoscope2026

Mastoid Surgery Does Not Normalize Tympanometric Middle Ear Pressure in Children With Cholesteatoma.

Adrian L James

Abstract read
In one paragraph

Article in The Laryngoscope, 2026. 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

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

1 author.

Adrian L JamesDepartment of Otolaryngology-Head and Neck Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-4125-4053

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether transcanal surgery without mastoidectomy, canal wall up (CWU), canal wall down (CWD), or CWU mastoid obliteration (MO) surgery for pediatric cholesteatoma has a more favorable effect on middle ear pressure (MEP) homeostasis.

methodsData from children having mastoid surgery for acquired cholesteatoma were collected prospectively. Tympanometric values of MEP were compared after transcanal, CWU, CWD, and MO surgery analyzing (i) a single measure per ear from last clinic visit, and (ii) linear mixed-effects modeling (LMEM) to control for multiple measures, surgeries, age, and cholesteatoma severity (EAONO-JOS stage).

results742 surgeries on 471 ears and 2382 tympanograms were completed. At last visit, (average age 15.6 years [6.0-19.3]), Type a tympanograms were present in 80/173 (46%) of transcanal surgeries, 64/132 (48%) CWU, 15/32 (47%) CWD, and 11/25 (44%) MO (Chi-square, p = 0.19), but 185/209 (89%) contralateral ears without cholesteatoma (Chi-square: p = 1.08 × 10

conclusionMEP after surgery for pediatric cholesteatoma is similar after transcanal, CWU, CWD, or MO surgery and remains lower than normal. Hypotheses that propose beneficial effects of these different surgical approaches on MEP homeostasis are not supported, so should not be used to influence choice of surgical approach. LEVEL OF EVIDENCE: 3:

Indexed as

Cholesteatoma, Middle EarEar, MiddleMastoidMastoidectomyAcoustic Impedance TestsAdolescentChildFemaleHumansMalePressureProspective StudiesTreatment OutcomeYoung Adultcholesteatoma surgerymastoidectomymiddle ear pressurepediatrictympanometry

Identifiers

PMID41459784
PMCPMC13158827

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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.