{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:50:01Z","timestamp":1787323801676,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"abstract":"ABSTRACT<\/jats:title>\n \n Objectives<\/jats:title>\n To evaluate the relationship between weight loss velocity following bariatric surgery and the onset and long\u2010term persistence of Patulous Eustachian Tube (PET) symptoms.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Sixty patients who underwent laparoscopic sleeve gastrectomy were prospectively evaluated. Otological assessments and the Eustachian Tube Dysfunction Questionnaire (ETDQ\u20107) were completed preoperatively and postoperatively at 1, 3, 6, and 12\u2009months. Patients were categorized into Asymptomatic (Group 1), Recovered (Group 2), and Persistent (Group 3) groups based on 12\u2010month clinical trajectories. Postoperative weight loss velocity was calculated via periodic BMI (Body Mass Index) change rates (\n \u0394<\/jats:italic>\n BMI%).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The overall PET symptom onset rate was 55.0% (\n n<\/jats:italic>\n \u2009=\u200933), with 43.3% (\n n<\/jats:italic>\n \u2009=\u200926) experiencing spontaneous resolution and 11.7% (\n n<\/jats:italic>\n \u2009=\u20097) developing chronic symptoms. No significant difference was found in 12\u2010month excess weight loss percentage (%EWL) success rates among groups (\n p<\/jats:italic>\n \u2009=\u20090.577). However, BMI decline velocities demonstrated highly significant intergroup variances (\n p<\/jats:italic>\n \u2009<\u20090.001). ROC analysis revealed that an initial 0\u20133\u2009month BMI decline exceeding 25.0% significantly predicted symptom onset (\n p<\/jats:italic>\n \u2009=\u20090.003). Remarkably, a 3\u20136\u2009month BMI decline velocity above 22.4% predicted long\u2010term symptom chronicity. (\n p<\/jats:italic>\n \u2009<\u20090.001), yielding a sensitivity and negative predictive value of 100%. Higher preoperative BMI was significantly associated with symptom persistence.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The onset and long\u2010term persistence of post\u2010bariatric PET symptoms are fundamentally dictated by postoperative weight loss velocity rather than absolute weight loss. A sustained high\u2010velocity BMI decline between Months 3 and 6 serves as the definitive clinical predictor for chronicity, demanding close monitoring.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 3.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.70858","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:13:50Z","timestamp":1787321630000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Weight Loss Velocity and Patulous Eustachian Tube Chronicity After Bariatric Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7539-5586","authenticated-orcid":false,"given":"Handan Turgut","family":"Semerci","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Y\u0131ld\u0131zl\u0131 Medical Park Hospital Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taha","family":"Semerci","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Reanimation Ka\u00e7kar State Hospital Rize Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Efnan Abdio\u011flu","family":"Fazl\u0131","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Karadeniz Technical University Faculty of Medicine Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Can","family":"Ke\u00e7e","sequence":"additional","affiliation":[{"name":"Department of General Surgery Y\u0131ld\u0131zl\u0131 Medical Park Hospital Trabzon Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"5","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1097\/mao.0b013e31804d4998","article-title":"Diagnosis and Management of the Patulous Eustachian Tube","volume":"28","author":"Poe D. S.","year":"2007","journal-title":"Otology & Neurotology"},{"issue":"6","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1016\/j.otc.2006.08.011","article-title":"Eustachian Tube Function and the Middle Ear","volume":"39","author":"Seibert J. W.","year":"2006","journal-title":"Otolaryngologic Clinics of North America"},{"issue":"6","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1007\/s00234-016-1663-4","article-title":"Imaging of the Eustachian Tube and Its Function: A Systematic Review","volume":"58","author":"Smith M. 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D.","year":"2012","journal-title":"Laryngoscope"},{"issue":"2","key":"e_1_2_10_8_1","first-page":"119","article-title":"Effect of Estrogen on Eustachian Tube Performance","volume":"12","author":"Nir D.","year":"1991","journal-title":"American Journal of Otology"},{"key":"e_1_2_10_9_1","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1288\/00005537-198109000-00003","article-title":"Autophony and the Patulous Eustachian Tube","volume":"91","author":"O'Connor A. F.","year":"1981","journal-title":"Laryngoscope"},{"issue":"3","key":"e_1_2_10_10_1","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1002\/(SICI)1098-108X(199904)25:3<353::AID-EAT16>3.0.CO;2-M","article-title":"Patulous Eustachian Tube in a Case of Adolescent Anorexia Nervosa","volume":"25","author":"Karwautz A.","year":"1999","journal-title":"International Journal of Eating Disorders"},{"issue":"3","key":"e_1_2_10_11_1","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s00405-020-06128-y","article-title":"The Impact of Bariatric Surgery on Eustachian Tube Dysfunction","volume":"278","author":"Yazici Z. M.","year":"2021","journal-title":"European Archives of Oto\u2010Rhino\u2010Laryngology"},{"issue":"5","key":"e_1_2_10_12_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2022.103581","article-title":"Impact of Body Mass Index in Patulous Eustachian Tube: Does Rapid Weight Loss Influence Symptom Improvement?","volume":"43","author":"Wu S. S.","year":"2022","journal-title":"American Journal of Otolaryngology"},{"issue":"1","key":"e_1_2_10_13_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjoto.2025.104742","article-title":"Objective Diagnosis of Patulous Eustachian Tube Following Bariatric Surgery Using Dynamic Tympanometry","volume":"46","author":"Erdemes S.","year":"2025","journal-title":"American Journal of Otolaryngology"},{"key":"e_1_2_10_14_1","doi-asserted-by":"crossref","first-page":"6533","DOI":"10.1007\/s00405-025-09604-5","article-title":"First Report on a Case Series of Patulous Eustachian Tube Following GLP\u20101 Receptor Agonist\u2010Induced Weight Loss","volume":"282","author":"Sudhoff H.","year":"2025","journal-title":"European Archives of Oto\u2010Rhino\u2010Laryngology"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70858","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70858","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70858","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T14:13:52Z","timestamp":1787321632000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70858"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,21]]},"references-count":13,"alternative-id":["10.1002\/lary.70858"],"URL":"https:\/\/doi.org\/10.1002\/lary.70858","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,21]]},"assertion":[{"value":"2026-05-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"lary.70858"}}