{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:41:08Z","timestamp":1790822468825,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T00:00:00Z","timestamp":1462924800000},"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":[[2016,12]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>There is no consensus among clinicians regarding the best treatment strategy for adhesive otitis media (AdOM). It is common practice to only intervene in the presence of recurrent infections or significant conductive hearing loss. In an attempt to provide evidence regarding the efficacy and safety of surgical intervention, we have analyzed the long\u2010term outcome of tympanoplasty for AdOM .<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2013 to April 2014, 57 patients with AdOM (60 ears) who fit our criteria for tympanoplasty were recruited and underwent tympanoplasty using tragal cartilage combined with transtympanic ventilation tube and cortical mastoidectomy. Otorrhea control, graft uptake, hearing level changes, and complications were evaluated within a 3\u2010year period of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Otorrhea was controlled in 94% of the ears. Tympanic membrane healing was achieved in all ears except one ear, which had myringitis. Overall there was significant improvement in hearing. Whereas the mean preoperative air\u2010bone gap (ABG) was 30.4 \u00b1 4.0 dB, postoperative mean ABG was 8.6 \u00b1 6.9 dB at 1 year. Closure of ABG to within 20 dB was achieved in 46 ears (83.6%). One ear showed a drop in bone conduction level by 25 dB. No iatrogenic cholesteatoma was detected in any of the cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study demonstrated that tympanoplasty has favorable outcomes in AdOM . Risks of iatrogenic sensorineural hearing loss or cholesteatoma formation are negligible.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4. <jats:italic>Laryngoscope<\/jats:italic>, 126:2804\u20132810, 2016<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.25987","type":"journal-article","created":{"date-parts":[[2016,5,11]],"date-time":"2016-05-11T13:50:24Z","timestamp":1462974624000},"page":"2804-2810","source":"Crossref","is-referenced-by-count":28,"title":["Tympanoplasty in adhesive otitis media: A descriptive study"],"prefix":"10.1002","volume":"126","author":[{"given":"Aisha","family":"Larem","sequence":"first","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"},{"name":"Weill Cornell Medical College in Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan","family":"Haidar","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"},{"name":"Weill Cornell Medical College in Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Alsaadi","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassanin","family":"Abdulkarim","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maryam","family":"Abdulraheem","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Sheta","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanmugam","family":"Ganesan","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"},{"name":"Weill Cornell Medical College in Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amr","family":"Elhakeem","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulsalam","family":"Alqahtani","sequence":"additional","affiliation":[{"name":"Otolaryngology Department of Hamad Medical Corporation Doha Qatar"},{"name":"Weill Cornell Medical College in Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,11]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1987.01860040042014"},{"key":"e_1_2_6_3_1","first-page":"281","volume-title":"Pediatric Otolaryngology: Principles and Practice Pathways","author":"Forsen TW","year":"2000"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(00)80069-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1007\/978-3-319-13996-8_7","volume-title":"Tympanic Membrane Retraction Pocket","author":"Mansour S","year":"2015"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1985.tb01186.x"},{"key":"e_1_2_6_7_1","volume-title":"L'otite Adhesive Encycl Med Chir","author":"Bremond G","year":"1985"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1986.03780060040005"},{"key":"e_1_2_6_9_1","unstructured":"ShenYM SunWQ ShenH LiYH.Tragus cartilage tympanoplasty for treatment of adhesive otitis media. Nan Fang Yi Ke Da Xue Xue Bao2010;30:1382\u20131384."},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","unstructured":"IchimuraK IshikawaK NakamuraK SaitoC.Cartilage palisade tympanoplasty for adhesive otitis media. Nihon Jibiinkoka Gakkai Kaiho2009;112:474\u2013479.","DOI":"10.3950\/jibiinkoka.112.474"},{"key":"e_1_2_6_11_1","unstructured":"YuLS QiZM.Operative therapy of the adhesive otitis media. Zhonghua Er Bi Yan Hou Ke Za Zhi2004;39:40\u201343."},{"key":"e_1_2_6_12_1","first-page":"323","volume-title":"The Eustachian Tube, Clinical Aspects","author":"Magnan J","year":"1991"},{"key":"e_1_2_6_13_1","first-page":"301","article-title":"L'otite adhesive","volume":"36","author":"Bremond G","year":"1987","journal-title":"J Fr ORL"},{"key":"e_1_2_6_14_1","first-page":"797","article-title":"Du traitement de l'otite fibro\u2010adh\u00e9sive et des s\u00e9quelles adh\u00e9sives d'otite","volume":"19","author":"Martin C","year":"1984","journal-title":"Cah ORL"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894760850S214"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004050050047"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489009124803"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00010"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30641-1"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30365-0"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770302-4"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100146705"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1977.87.11.1847"},{"key":"e_1_2_6_24_1","first-page":"80","article-title":"Personal experiences with TORPs and PORPs: a report on 455 operations","volume":"6","author":"Sheehy JL","year":"1985","journal-title":"Am J Otol"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988409200106"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000226288.96423.ed"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200111000-00008"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00006"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016487209138193"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2003.13980"},{"key":"e_1_2_6_31_1","first-page":"304","article-title":"Anterior subannular T\u2010tube for long\u2010term middle ear ventilation during tympanoplasty","volume":"20","author":"O'Hare T","year":"1999","journal-title":"Am J Otol"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2011.197"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23752"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200403000-00023"},{"key":"e_1_2_6_35_1","first-page":"296","article-title":"Insights in the physiology of the human mastoid: message to the surgeon","volume":"8","author":"Ars B","year":"2012","journal-title":"J Int Adv Otol"},{"key":"e_1_2_6_36_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/978-3-319-13996-8_3","volume-title":"Tympanic Membrane Retraction Pocket","author":"Mansour S","year":"2015"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00022"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106001708"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100116512"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200105000-00005"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25987","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.25987","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.25987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,9]],"date-time":"2023-09-09T17:21:07Z","timestamp":1694280067000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.25987"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,5,11]]},"references-count":39,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1002\/lary.25987"],"URL":"https:\/\/doi.org\/10.1002\/lary.25987","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,5,11]]}}}