{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:19:34Z","timestamp":1788787174894,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3730,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To report results of revision chronic ear surgery following guidelines of the American Academy of Otolaryngology\u2013Head and Neck Surgery and to establish expectations for infection and cholesteatoma control and hearing outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STUDY DESIGN<\/jats:title>\n                    <jats:p>Retrospective case review of all patients who underwent revision chronic ear surgery from January 1, 1990 to December 31, 2000. Revision chronic ear surgery included canal wall up and canal wall down procedures with ossicular chain reconstruction performed as needed. Cholesteatoma control, hearing improvement, and closure of middle ear space are main outcome measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>Tertiary referral center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Cholesteatoma recurrence rate was 57% at 1 year after surgery and 14% in patients with a minimum of a 5\u2010year follow\u2010up. Disease control was achieved in 96% of patients. Hearing was significantly improved in all surgical groups. Closure of the air\u2010bone gap for revision partial ossicular replacement prosthesis cases (PORP) to less than 20\u00a0dB occurred in 50% of patients. Closure of the air\u2010bone gap to within 30\u00a0dB for revision total ossicular replacement prosthesis (TORP) occurred in 60% of patients. Canal wall down status had a significant impact on hearing results after PORPs and TORPs; patients with intact canal walls had significantly better hearing results. Diagnosis of cholesteatoma significantly impacted hearing results for TORPs but not PORPS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Cholesteatoma control rates after revision surgery are similar to primary cases. Significant improvement in hearing can be expected after revision chronic ear surgery. Hearing results after a revision surgery that requires a PORP is worse than primary cases and is canal wall status dependant. Closure of the middle ear space and creation of a safe dry ear can be expected after revision chronic ear surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SIGNIFICANCE<\/jats:title>\n                    <jats:p>This is a review of a large series of exclusively revision chronic ear surgery.<\/jats:p>\n                    <jats:p>EBM rating: C\u20104<\/jats:p>\n                    <jats:p>\u00a9 2006 American Academy of Otolaryngology\u2013Head and Neck Surgery Foundation, Inc. All rights reserved.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.otohns.2005.10.044","type":"journal-article","created":{"date-parts":[[2006,2,22]],"date-time":"2006-02-22T07:28:35Z","timestamp":1140593315000},"page":"443-450","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Revision Chronic Ear Surgery"],"prefix":"10.1002","volume":"134","author":[{"given":"David M.","family":"Kaylie","sequence":"first","affiliation":[{"name":"Otology Group of Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward K.","family":"Gardner","sequence":"additional","affiliation":[{"name":"Arkansas Otolaryngology Center Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. Gary","family":"Jackson","sequence":"additional","affiliation":[{"name":"Otology Group of Vanderbilt Nashville Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348948809700106"},{"key":"e_1_2_6_3_1","first-page":"1","volume-title":"Otolaryngology.","author":"Sheehy J","year":"1994"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195608000-00008"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100051240"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196708000-00018"},{"issue":"8","key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1288\/00005537-198308000-00001","article-title":"Ossicular chain reconstruction: The TORP and PORP in chronic ear disease.","volume":"98","author":"Jackson C","year":"1983","journal-title":"Laryngoscope"},{"issue":"1","key":"e_1_2_6_8_1","first-page":"7","article-title":"A surgical solution for the difficult chronic ear.","volume":"7","author":"Jackson C","year":"1996","journal-title":"Am J Otol"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198504000-00008"},{"key":"e_1_2_6_10_1","first-page":"136","article-title":"Prognostic factors in tympanoplasty.","volume":"19","author":"Albu S","year":"1998","journal-title":"Am J Otol"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30641-1"},{"issue":"6","key":"e_1_2_6_12_1","first-page":"544","article-title":"Ossiculoplasty prognosis: The SPITE method of assessment.","volume":"13","author":"Black B","year":"1992","journal-title":"Am J Otol"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00002"},{"issue":"3","key":"e_1_2_6_14_1","first-page":"186","article-title":"American Academy of Otolaryngology\u2013Head and Neck Surgery Foundation","volume":"113","author":"Committee on Hearing and Equilibrium guidelines for the evaluation of hearing preservation in acoustic neuroma (vestibular schwannoma).","year":"1995","journal-title":"Oto Head Neck Surg"},{"issue":"3","key":"e_1_2_6_15_1","first-page":"209","article-title":"Cholesteatoma surgery at the otologic medical group: Residual and recurrent disease. a report on 307 revision operations.","volume":"3","author":"Sheehy J","year":"1982","journal-title":"Am J Otol"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949810700606"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100130804"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200303000-00010"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/000164800454233"},{"key":"e_1_2_6_20_1","first-page":"709","article-title":"Areolar temporalis fascia: A reliable graft for tympanoplasty.","volume":"20","author":"Cueva R","year":"1999","journal-title":"Am J Otol"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.106404"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200105000-00005"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200401000-00011"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2005.10.044","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2005.10.044","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2005.10.044","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:24:25Z","timestamp":1760966665000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2005.10.044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,3]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2006,3]]}},"alternative-id":["10.1016\/j.otohns.2005.10.044"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2005.10.044","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,3]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}