{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:58:56Z","timestamp":1775037536444,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,9,17]],"date-time":"2017-09-17T00:00:00Z","timestamp":1505606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether patients with simple chronic otitis media and incomplete ossicular discontinuity should undergo ossicular reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective, randomised surgical trial comparing no intervention with incus interposition over a 5\u2010year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary referral hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Seventy\u2010six participants with simple chronic otitis media and erosion of the long process of the incus but apparent good transmission throughout the ossicular chain as tested intra\u2010operatively. Forty\u2010four patients had partial erosion of the incus but still bony contact with the stapes head (Group A\u2014Type I), and 32 had mainly connective tissue binding the incus and stapes (Group B\u2014Type <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>). Each of these groups was randomised to either leaving the ossicular chain as it was (A1 and B1) or performing an incus interposition (A2 and B2).<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Average postoperative air\u2010bone gap and the degree of <jats:styled-content style=\"fixed-case\">ABG<\/jats:styled-content> closure. A postoperative air\u2010bone gap under 20 <jats:styled-content style=\"fixed-case\">dB<\/jats:styled-content> was considered a successful result.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In group A, there was no significant difference between no intervention and incus interposition. In group B, patients in the no reconstruction subgroup had a significantly worse hearing result than the incus interposition subgroup (postoperative air\u2010bone gap of 27.5 <jats:styled-content style=\"fixed-case\">dB<\/jats:styled-content> and 31% closure within 20 <jats:styled-content style=\"fixed-case\">dB<\/jats:styled-content> vs 15 <jats:styled-content style=\"fixed-case\">dB<\/jats:styled-content> and 75% closure).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For Type I patients, the postoperative hearing results were similar for the reconstruction and no reconstruction groups. For Type <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content> patients, the results clearly favour reconstruction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12974","type":"journal-article","created":{"date-parts":[[2017,9,5]],"date-time":"2017-09-05T11:13:07Z","timestamp":1504609987000},"page":"300-305","source":"Crossref","is-referenced-by-count":6,"title":["Erosion of the long process of the incus with incomplete ossicular discontinuity in simple chronic otitis media: Should we reconstruct or leave it be?"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2334-0054","authenticated-orcid":false,"suffix":"Jr","given":"K.M.A.","family":"Sarmento","sequence":"first","affiliation":[{"name":"Brasilia Military Police Hospital Affiliated Center of the Fisch International Microsurgery Foundation (FIMF) Brasilia DF Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.A.C.P.","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Brasilia Brasilia DF Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.L.L.","family":"Sampaio","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Brasilia Brasilia DF Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.F.","family":"Sales","sequence":"additional","affiliation":[{"name":"Bosucesso General Hospital Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,9,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100078476"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100087703"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000239"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200301000-00007"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31828864a7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198104000-00013"},{"key":"e_1_2_8_8_1","doi-asserted-by":"crossref","DOI":"10.1055\/b-002-85487","volume-title":"Tympanoplasty, Mastoidectomy, and Stapes Surgery","author":"Fisch U","year":"2008"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318245cea5"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30641-1"},{"key":"e_1_2_8_11_1","first-page":"072","article-title":"Comparative study between radiological and surgical findings of chronic otitis media","volume":"15","author":"Prata AAS","year":"2011","journal-title":"Int Arch Otorhinolaryngol"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000001017"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2120-6"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113001928"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.12974","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.12974","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:41:15Z","timestamp":1695494475000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.12974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9,17]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,2]]}},"alternative-id":["10.1111\/coa.12974"],"URL":"https:\/\/doi.org\/10.1111\/coa.12974","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9,17]]}}}