{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:08:55Z","timestamp":1790287735234,"version":"4.1.0"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215126105209_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Tinnitus is a common and potentially distressing symptom associated with chronic ear disease. Its burden in patients with chronic suppurative otitis media in low-resource settings is not well characterised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105209_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted during an ear surgery camp in Nepal. One hundred patients with chronic suppurative otitis media completed the validated Nepali Tinnitus Handicap Inventory. Severity was categorised using established grading systems. Associations between sex and severity were assessed using chi-squared analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105209_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Nepali Tinnitus Handicap Inventory scores ranged from 0 to 94. Overall, 62 per cent of patients reported moderate or worse tinnitus, and 36 per cent reported severe or catastrophic symptoms. Female patients demonstrated a greater burden, with a higher proportion in severe and catastrophic categories. This difference was statistically significant (\u03c7\n                      <jats:sup>2<\/jats:sup>\n                      = 11.05; df = 4;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.026).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215126105209_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients undergoing surgery for chronic suppurative otitis media experience a substantial and under-recognised tinnitus burden. Routine assessment may support more comprehensive, patient-centred care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215126105209","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:47:36Z","timestamp":1782272856000},"page":"868-871","source":"Crossref","is-referenced-by-count":1,"title":["Tinnitus burden in patients with chronic suppurative otitis media undergoing surgery in Nepal: a cross-sectional study"],"prefix":"10.1017","volume":"140","author":[{"given":"Ruth","family":"Capper","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/050xdz686","id-type":"ROR","asserted-by":"publisher"}],"name":"Doncaster Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram","family":"Bohara","sequence":"additional","affiliation":[{"name":"The Britain Nepal Otology Service"},{"name":"Ganeshman Chowk"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Govind","family":"Bohara","sequence":"additional","affiliation":[{"name":"2. B.N. Hospital, Ganeshman Chowk"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-9705","authenticated-orcid":false,"given":"Emma","family":"Stapleton","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/027m9bs27","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Manchester Faculty of Biology Medicine and Health"},{"id":[{"id":"https:\/\/ror.org\/03kr30n36","id-type":"ROR","asserted-by":"publisher"}],"name":"Manchester Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"S0022215126105209_ref6","doi-asserted-by":"publisher","DOI":"10.3109\/14992020903555708"},{"key":"S0022215126105209_ref1","unstructured":"1 What is tinnitus? Tinnitus UK. In: https:\/\/tinnitus.org.uk\/understanding-tinnitus\/what-is-tinnitus\/ [25 April 2024]"},{"key":"S0022215126105209_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110658"},{"key":"S0022215126105209_ref4","first-page":"479","article-title":"Prevalence of otitis media in school-going children in Eastern Nepal","volume":"4","author":"Maharjan","year":"2006","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"S0022215126105209_ref12","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2001.00490.x"},{"key":"S0022215126105209_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215115002996"},{"key":"S0022215126105209_ref3","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100123278"},{"key":"S0022215126105209_ref5","first-page":"336","article-title":"Chronic suppurative otitis media in urban private school children of Nepal","volume":"75","author":"Adhikari","year":"2009","journal-title":"Braz J Otorhinolaryngol"},{"key":"S0022215126105209_ref11","doi-asserted-by":"publisher","DOI":"10.5935\/0946-5448.20190009"},{"key":"S0022215126105209_ref2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1996.01890140029007"},{"key":"S0022215126105209_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2020.09.001"},{"key":"S0022215126105209_ref7","first-page":"164","article-title":"Ear disease in children presenting at Nepal Medical College Teaching Hospital","volume":"13","author":"Rijal","year":"2011","journal-title":"Nepal Med Coll J"},{"key":"S0022215126105209_ref8","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-019-1539-y"}],"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\/S0022215126105209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T10:07:35Z","timestamp":1790244455000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215126105209\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S0022215126105209"],"URL":"https:\/\/doi.org\/10.1017\/s0022215126105209","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]}}}