{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T09:45:09Z","timestamp":1785836709508,"version":"3.56.0"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstarct<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate high\u2010frequency hearing outcomes in ossiculoplasty cases having favorable pure\u2010tone average outcomes within the reporting range set by current guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Multi\u2010center tertiary care ossiculoplasty outcome registry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 1679 registry cases, 499 ears with synthetic partial or total ossicular replacement prostheses and postoperative pure\u2010tone average air\u2010bone gap (PTA\u2010ABG)\u2009\u2264\u200915\u2009dB at 0.5, 1, 2, and 3\u2009kHz were included (mean follow\u2010up, 34.4\u2009\u00b1\u200935.7 months). Outcomes included postoperative 4\u2010kHz ABG and frequency\u2010specific preoperative to postoperative changes in ABG and air\u2010conduction (AC) thresholds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Mean postoperative PTA\u2010ABG was 9.6\u2009\u00b1\u20093.7\u2009dB. The mean 4\u2010kHz ABG was larger (18.2\u2009\u00b1\u200910.9\u2009dB) than ABGs at 0.5 to 3\u2009kHz (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Despite meeting success criteria, 51.5% of ears had a 4\u2010kHz ABG\u2009\u2265\u200920\u2009dB and 26.7% had a 4\u2010kHz ABG\u2009\u2265\u200925\u2009dB. AC improvement decreased with increasing frequency; gains at 4 to 8\u2009kHz were smaller than at 0.5 to 3\u2009kHz (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Current PTA\u2010based reporting can suggest ossiculoplasty has been successful while substantial high\u2010frequency conductive deficits persist. Future modification of hearing outcome reporting standards for conductive hearing loss might benefit from consideration of \u22654\u2010kHz outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70378","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T08:57:38Z","timestamp":1785833858000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Conventional Reporting Standards Conceal High\u2010Frequency Hearing Deficits After Favorable Ossiculoplasty"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4503-5544","authenticated-orcid":false,"given":"Michael B.","family":"Gluth","sequence":"first","affiliation":[{"name":"Ear Sciences Centre, Medical School The University of Western Australia Nedlands Western Australia Australia"},{"name":"Ear Science Institute Australia Subiaco Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2461-2904","authenticated-orcid":false,"given":"Ryan T.","family":"Judd","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery The Ohio State University, Eye and Ear Institute, Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"issue":"1","key":"e_1_2_9_2_1","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S0030-6665(20)33024-3","article-title":"Ossicular reconstruction","volume":"5","author":"Austin DF","year":"1972","journal-title":"Otolaryngol Clin North Am"},{"issue":"1","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1177\/019459988409200106","article-title":"TORPs and PORPs in tympanoplasty: a review of 1042 operations","volume":"92","author":"Brackmann DE","year":"1984","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"2","key":"e_1_2_9_4_1","first-page":"S1","article-title":"A multi\u2010center study of ossiculoplasty hearing outcomes and a grading scale of ear environment risk","volume":"135","author":"Gluth MB","year":"2025","journal-title":"Laryngoscope"},{"issue":"3","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1016\/S0194-5998(95)70103-6","article-title":"Committee on hearing and equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss","volume":"113","author":"Committee on Hearing and Equilibrium","year":"1995","journal-title":"Otolaryngol Head Neck Surg"},{"key":"e_1_2_9_6_1","volume-title":"Guides to the Evaluation of Permanent Impairment","author":"American Medical Association","year":"1979"},{"issue":"5","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1177\/0194599812458401","article-title":"A new standardized format for reporting hearing outcome in clinical trials","volume":"147","author":"Gurgel RK","year":"2012","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"732","DOI":"10.1097\/AUD.0b013e31822228be","article-title":"The AMA method of estimation of hearing disability: a validation study","volume":"32","author":"Dobie RA","year":"2011","journal-title":"Ear Hear"},{"issue":"1","key":"e_1_2_9_9_1","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1121\/1.1916407","article-title":"Factors governing the intelligibility of speech sounds","volume":"19","author":"French NR","year":"1947","journal-title":"J Acoust Soc Am"},{"key":"e_1_2_9_10_1","volume-title":"Methods for the calculation of the articulation index. 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