{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T05:39:23Z","timestamp":1770961163201,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2009,8,17]],"date-time":"2009-08-17T00:00:00Z","timestamp":1250467200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives\/Hypothesis:<\/jats:title><jats:p>To evaluate the effect of the tympanostomy tube (TT) on postoperative retraction of the soft posterior meatal wall caused by habitual sniffing following ear surgery, including a mastoidectomy and soft\u2010wall reconstruction of the posterior meatal wall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design:<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>Sixty\u2010six ears of 64 patients with acquired cholesteatoma who underwent staged ear surgery with a soft\u2010wall reconstruction method and mastoidectomy were enrolled; 26 out of 66 ears had habitual sniffing (sniffing positive[+]), underwent TT placement (TT positive[+]) during surgery, and were followed up for at least 8 months after surgery. Sixty\u2010six ears were divided into sniffing+\/TT+, sniffing negative(\u2212)\/TT+, and sniffing\u2212\/TT\u2212 groups, and the degree of the retraction was compared among the three groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>The distribution of the grades of the postoperative retraction of the soft posterior meatal wall was almost the same among the three groups (<jats:italic>P<\/jats:italic> = .60). Ears with severe retraction were found in 19.2% (5\/26), 33.3% (7\/21), and 15.8% (3\/19) in the sniffing+\/TT+ group, sniffing\u2212\/TT+ group, and sniffing\u2212\/TT\u2212 groups, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The TT was found to be effective in preventing the development of postoperative retraction of the reconstructed soft posterior meatal wall and tympanic membrane among cases with habitual sniffing. We would suggest that TT placement is recommended during surgery for cholesteatoma if a patient was found to engage in habitual sniffing. 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