Evidence map›Paper›PMID 42533679›Full record

ReviewJournal of audiology & otology2026

Optimizing Hearing Rehabilitation in Chronic Otitis Media: An Expert Opinion on Early Integration of Bone Conduction Devices.

Hillary A Snapp, Douglas D Backous, Marcela Machena Borja, Karina Fanelli, Noemi Hernández, Jacques A Herzog, Rafael Jaramillo, Manabu Komori, Kelvin Kong, Thomas Lenarz and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of audiology & otology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Hillary A SnappDepartment of Otolaryngology, University of Miami Miller School of Medicine, Miami, FL, USA.
Douglas D BackousSwedish Medical Center, Seattle, WA, USA.
Marcela Machena BorjaCentro dé a Diagnóstico Otologico Medellin, Medellin, Colombia.
Karina FanelliCentro Audiologico Buenos Aires, Buenos Aires, Argentina.
Noemi HernándezCentro Audiológico CORTI, Hospital Real San José Valle, Zapopan, México.
Jacques A HerzogDepartment of Otolaryngology Head and Neck Surgery, Washington University School of Medicine in St. Louis, St. Louis, MI, USA.
Rafael JaramilloCaldas Hospital SES, Manizales, Caldas, Colombia.
Manabu KomoriDepartment of Otolaryngology, St. Marianna University School of Medicine, Kawasaki, Japan.
Kelvin KongHunter ENT, Newcastle, Australia.
Thomas LenarzMedical University of Hannover, Hannover, Germany.
Naoki OishiDepartment of Otolaryngology, Head and Neck Surgery Keio University School of Medicine, Tokyo, Japan.
Jaydip RayENT Department, Sheffield Teaching Hospitals, Sheffield, United Kingdom.
Faisal ZawawiDepartment of Otolaryngology, Head & Neck Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
Myrthe Karianne Sophie HolDepartment of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, Groningen, The Netherlands. m.k.s.hol@umcg.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic otitis media (COM) frequently results in persistent hearing loss that is underrecognized and insufficiently addressed, even after successful surgical management. This expert opinion presents statements and treatment recommendations that advocate for the earlier integration of bone conduction device (BCD) solutions into the management of COM-related hearing loss. Expert opinions were developed through a structured, multiphase process integrating interdisciplinary expertise, a literature review, and patient perspectives. A core team drafted preliminary statements based on evidence from COM, hearing loss research, and clinical experience. These statements were discussed during a face-to-face roundtable in Vienna in September 2025 with 12 international experts, using a structured Think-Pair-Share format. Feedback from breakout groups, plenary discussions, and subsequent email reviews informed the final expert statements and treatment recommendations. Three statements were developed, refined, and agreed upon by the participants. Experts emphasized the early and proactive use of nonsurgical and surgical BCDs to support developmental, communicative, and functional outcomes. Optimal hearing interventions should be prioritized in parallel infection management and surgical interventions. Structured monitoring of hearing and quality of life is recommended to guide timely adjustments in the management of COM and related hearing loss. This expert opinion supports a shift toward the earlier integration of BCD solutions into the management of COM, emphasizing a dual focus on infection control and hearing rehabilitation.

Indexed as

Audiology and otologyBone conductionChronic otitis mediaExpert testimonyHearing loss

Identifiers

PMID42533679
PMCPMC13425017

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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.