{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:57:34Z","timestamp":1791899854348,"version":"4.3.4"},"reference-count":38,"publisher":"Wiley","issue":"9","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:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"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":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Australian Aboriginal and Torres Strait Islander children experience some of the highest rates of otitis media with tympanic membrane (TM) perforation in the world. Deadly Ears is a statewide, Indigenous\u2010led outreach service providing on\u2010Country ear health care across Queensland. We evaluated myringoplasty surgery outcomes delivered through this program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of Aboriginal and Torres Strait Islander children undergoing myringoplasty surgery\u00a0by Deadly Ears between January 2015 and February 2025 was performed. Demographic, clinical, surgical, and audiological data were extracted from medical records. Primary outcomes were TM closure and improvement between pre\u2010 and post\u2010operative audiological categories. Associations between primary outcomes and patient, ear, and surgical variables were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and four children underwent 135 myringoplasties (median age 10\u2009years, IQR 8\u201312) across nine communities. Surgical and audiological follow\u2010up was complete for 123 (91%) cases (median follow\u2010up 707\u2009days, IQR 358\u20131156). Complete TM closure achieved in 60.2% of cases and perforation size improved in 74.8%. Hearing improved by at least one category in 64.2% of ears. The proportion of children with normal hearing increased from 3.7% to 44.7%. Cartilage\u2010based grafts, consultant surgeon operating, and shorter time to initial follow\u2010up were associated with improved TM closure rates. Hearing improvement was associated with age\u2009&lt;\u200912\u2009years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Strong community engagement facilitated by Deadly Ears was reflected by high and complete\u00a0follow\u2010up rates. Surgical and audiological outcomes were consistent with other Aboriginal and Torres Strait Islander outreach programs but remain lower than metropolitan centres. Ongoing investment in culturally responsive, community\u2010designed outreach models is essential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70871","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T02:48:38Z","timestamp":1785898118000},"page":"2431-2440","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Myringoplasty Outcomes for Aboriginal and Torres Strait Islander Children Treated Via the Deadly Ears Program: A 10\u2010Year Retrospective Cohort Study"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3221-7250","authenticated-orcid":false,"given":"Lara","family":"Gahan","sequence":"first","affiliation":[{"name":"Queensland Children's Hospital  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9923-2087","authenticated-orcid":false,"given":"James","family":"Nightingale","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Townsville University Hospital  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2498-345X","authenticated-orcid":false,"given":"Trent","family":"Lyon","sequence":"additional","affiliation":[{"name":"Deadly Ears  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Conlon","sequence":"additional","affiliation":[{"name":"Deadly Ears  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Perry","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Deadly Ears  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1485-3744","authenticated-orcid":false,"given":"Claire","family":"Frauenfelder","sequence":"additional","affiliation":[{"name":"Queensland Children's Hospital  South Brisbane Queensland Australia"},{"name":"Deadly Ears  South Brisbane Queensland Australia"},{"name":"Centre for Child Health Research University of Queensland  South Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Deadly Ears Program","author":"Queensland Children's Hospital","year":"2025"},{"key":"e_1_2_11_3_1","volume-title":"Queensland's Deadly Ears Program\u2014Indigenous Children Receiving Services for Ear Disease and Hearing Loss 2007\u20132019: Data Tables","author":"Australian Institute of Health and Welfare","year":"2021"},{"issue":"9","key":"e_1_2_11_4_1","first-page":"S39","article-title":"Natural History, Definitions, Risk Factors and Burden of Otitis Media","volume":"191","author":"Kong K.","year":"2009","journal-title":"Medical Journal of Australia"},{"issue":"9","key":"e_1_2_11_5_1","first-page":"S60","article-title":"Complications of Otitis Media in Indigenous and Non\u2010Indigenous Children","volume":"191","author":"O'Connor T. 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