{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:07:40Z","timestamp":1790690860933,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"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":["OTO Open"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the incidence of Patulous Eustachian Tube (PET) following bariatric surgery using standardized diagnostic criteria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary academic medical center in northern Mexico.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Sixty\u2010four adults undergoing Roux\u2010en\u2010Y gastric bypass or sleeve gastrectomy were enrolled from April 2024 to June 2025. Otological assessments were conducted preoperatively, immediately postoperatively, and at 3 months postsurgery. PET diagnosis was determined using the Japan Otological Society (JOS) criteria. The Eustachian Tube Dysfunction Questionnaire\u20107 (ETDQ\u20107) was administered at each visit. Weight loss parameters were recorded, and correlated with PET outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      64 enrolled patients, 12 were excluded, and 52 were analyzed. The mean patient age was 39.4 years (SD\u2009\u00b1\u200910.7); 73.1% were women. Mean weight loss at 3 months was 22.8\u2009kg (19.3% of initial body weight). No patients met criteria for definite PET at any time point. The proportion of patients with possible PET increased from 9.6% preoperatively to 23.1% at 3 months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.07). ETDQ\u20107 scores did not change significantly across time points (median 8\u20109;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.55). No significant correlation was observed between magnitude of weight loss and PET outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite significant weight loss, no confirmed cases of PET 3 months after bariatric surgery. These findings suggest that previously reported high PET incidence rates may reflect inconsistent diagnostic standards rather than true clinical pathology. Symptom\u2010driven evaluation rather than routine PET screening may be more appropriate in the early postoperative period. Larger studies with longer follow\u2010up are needed to assess long\u2010term risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oto2.70282","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T12:28:09Z","timestamp":1784809689000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence of Patulous Eustachian Tube Following Bariatric Surgery: An Observational Study at a Single Center"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2347-0876","authenticated-orcid":false,"given":"Hiram H.","family":"Plata\u2010Huerta","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. Madero y Gonzalitos, s\/n, Mitras Centro Monterrey 64460 Nuevo Le\u00f3n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1739-4080","authenticated-orcid":false,"given":"Josefina Alejandra","family":"Morales\u2010Del Angel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. Madero y Gonzalitos, s\/n, Mitras Centro Monterrey 64460 Nuevo Le\u00f3n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8937-7909","authenticated-orcid":false,"given":"Gerardo E.","family":"Mu\u00f1oz\u2010Maldonado","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. Madero y Gonzalitos, s\/n, Mitras Centro Monterrey 64460 Nuevo Le\u00f3n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-9397","authenticated-orcid":false,"given":"Luis F.","family":"Zorrilla\u2010N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. Madero y Gonzalitos, s\/n, Mitras Centro Monterrey 64460 Nuevo Le\u00f3n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6754-4937","authenticated-orcid":false,"given":"Oscar A.","family":"Ledesma\u2010Orta","sequence":"additional","affiliation":[{"name":"Department of Bariatric and Metabolic Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d, Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. Madero y Gonzalitos, s\/n, Mitras Centro Monterrey 64460 Nuevo Le\u00f3n M\u00e9xico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7766-2369","authenticated-orcid":false,"given":"Jos\u00e9 L.","family":"Trevi\u00f1o\u2010Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Hospital Universitario \u201cDr. Jos\u00e9 Eleuterio Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n, Av. 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El ETDQ\u20107 como herramienta para el diagn\u00f3stico cl\u00ednico","volume":"80","author":"Cortese SE","year":"2020","journal-title":"Revista de otorrinolaringolog\u00eda y cirug\u00eda de cabeza y cuello"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.606"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23223"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2010.07.004"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1382097"},{"issue":"2","key":"e_1_2_9_20_1","doi-asserted-by":"crossref","DOI":"10.1590\/0102-672020200002e1520","article-title":"Prevalence of hearing symptoms related to patulous Eustachian tube after bariatric surgery","volume":"33","author":"Kinasz LRS","year":"2020","journal-title":"Arquivos brasileiros de cirurgia digestiva: ABCD = Braz Arch Digest Surg"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06128-y"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2022.103581"},{"issue":"8","key":"e_1_2_9_23_1","article-title":"The prevalence of hearing symptoms associated with patulous Eustachian tube dysfunction following bariatric surgery at King Khalid University Hospital, Saudi Arabia","volume":"15","author":"Albawardi KA Sr","year":"2023","journal-title":"Cureus"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000007965"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2023-0254"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0206946"}],"container-title":["OTO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oto2.70282","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/oto2.70282","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oto2.70282","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:34:09Z","timestamp":1790688849000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/oto2.70282"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1002\/oto2.70282"],"URL":"https:\/\/doi.org\/10.1002\/oto2.70282","archive":["Portico"],"relation":{},"ISSN":["2473-974X","2473-974X"],"issn-type":[{"value":"2473-974X","type":"print"},{"value":"2473-974X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"2025-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70282"}}