{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T18:36:22Z","timestamp":1760985382180},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"S1","license":[{"start":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T00:00:00Z","timestamp":1450656000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215115003217_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To determine whether the use of tissue spears to remove otorrhoea from Aboriginal children's ear canals improves hearing in the affected ear.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003217_sec_a2\"><jats:title>Design:<\/jats:title><jats:p>Case series study with controls.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003217_sec_a3\"><jats:title>Methods:<\/jats:title><jats:p>The study comprised 61 Aboriginal children from communities in the remote arid zone of South Australia who had otorrhoea obscuring the tympanic membrane in 1 or both ears. Eighty ears were treated with tissue spears, and hearing was assessed before and after treatment.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003217_sec_a4\"><jats:title>Results:<\/jats:title><jats:p>Forty-two children had unilateral and 19 had bilateral active disease. An additional 13 ears without otorrhoea served as controls. Improvement by 5 dB HL or greater in a four-frequency pure tone average occurred in 41.3 per cent of treated ears. Subsequently, blinded audiologists made qualitative judgements that a functional improvement in hearing had occurred after tissue spear use in 28.4 per cent of ears.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215115003217_sec_a5\"><jats:title>Conclusion:<\/jats:title><jats:p>Tissue spears can improve hearing thresholds in a significant proportion of children with otorrhoea. However, the duration of the effect is unknown.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215115003217","type":"journal-article","created":{"date-parts":[[2015,12,21]],"date-time":"2015-12-21T11:05:37Z","timestamp":1450695937000},"page":"S11-S15","source":"Crossref","is-referenced-by-count":5,"title":["Do tissue spears used to clear ear canal pus improve hearing? A case series study of hearing in remote Australian Aboriginal children with chronic suppurative otitis media before and after dry mopping with tissue spears"],"prefix":"10.1017","volume":"130","author":[{"given":"K","family":"Sparrow","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Sanchez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Turner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"MacFarlane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A S","family":"Carney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,12,21]]},"reference":[{"key":"S0022215115003217_ref15","first-page":"31","volume-title":"Chronic Suppurative Otitis Media. Burden of Illness and Management Options","year":"2004"},{"key":"S0022215115003217_ref12","doi-asserted-by":"publisher","DOI":"10.3109\/00206097509071731"},{"key":"S0022215115003217_ref10","volume-title":"Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait Islander Populations (2010)","year":"2010"},{"key":"S0022215115003217_ref8","unstructured":"How young Indigenous people are faring: Key indicators 1996\u20132006. In: http:\/\/dusseldorp.org.au\/wp-content\/uploads\/2010\/06\/how-young-indigenous-people-are-faring.pdf [28 October 2015]"},{"key":"S0022215115003217_ref7","unstructured":"Hughes H , Hughes M . Indigenous Education 2012. Policy Monograph 129. In: http:\/\/www.cis.org.au\/app\/uploads\/2015\/07\/pm129.pdf [28 October 2015]"},{"key":"S0022215115003217_ref5","first-page":"27","article-title":"Whole-of-population studies of ear health and hearing in remote and urban Indigenous school-age children in South Australia","volume":"7","author":"Sanchez","year":"2010","journal-title":"Public Health Bulletin SA"},{"key":"S0022215115003217_ref3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-5-27"},{"key":"S0022215115003217_ref1","unstructured":"World Health Organization. Prevention of hearing impairment from chronic otitis media. In: http:\/\/www.who.int\/pbd\/deafness\/en\/chronic_otitis_media.pdf [28 October 2015]"},{"key":"S0022215115003217_ref13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004618.pub2"},{"key":"S0022215115003217_ref6","unstructured":"An evaluation of the benefits of swimming pools for the hearing and ear health of young Indigenous Australians. A whole of population study across multiple remote Indigenous communities. In: http:\/\/www.healthinfonet.ecu.edu.au\/uploads\/resources\/24227_24227.pdf [28 October 2015]"},{"key":"S0022215115003217_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005608"},{"key":"S0022215115003217_ref2","volume-title":"Aboriginal Primary Health Care: An Evidence Based Approach","author":"Couzos","year":"2008"},{"key":"S0022215115003217_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.08.021"},{"key":"S0022215115003217_ref14","doi-asserted-by":"crossref","first-page":"177","DOI":"10.5694\/j.1326-5377.2002.tb04727.x","article-title":"Otitis media in Aboriginal children: tackling a major health problem","volume":"177","author":"Coates","year":"2002","journal-title":"Med J Aust"},{"key":"S0022215115003217_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)09388-9"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215115003217","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,13]],"date-time":"2020-09-13T01:34:42Z","timestamp":1599960882000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215115003217\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,21]]},"references-count":15,"journal-issue":{"issue":"S1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["S0022215115003217"],"URL":"https:\/\/doi.org\/10.1017\/s0022215115003217","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,21]]}}}