{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T00:24:00Z","timestamp":1792369440096,"version":"4.4.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T00:00:00Z","timestamp":1708992000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2026,10]]},"abstract":"\n Objective:<\/jats:bold>\n We examined the relationship between factors of middle ear conditions and the outcome of ossiculoplasty in chronic otitis media (COM) by measuring the improvement in the air-bone gap (ABG) and air conduction threshold (TAC).\n Methods:<\/jats:bold>\n This retrospective study analyzed 76 patients (77 ears) who underwent ossiculoplasty from among 520 COM patients who underwent tympanoplasty based on the maximum preservation of the original ossicles. The reconstructed ossicular chain was performed by preserving or utilizing the remaining malleus in all cases with the presence of the malleus manubrium. Patients with eardrum adhesion, cholesteatoma, and cholesterol granuloma were defined as having a compromised middle ear condition (Group A), and those without as having an uncompromised middle ear condition (Group B). In each group, pure-tone audiometry was performed preoperatively and postoperatively, and improvements in the ABG and TAC were compared. The effects of the types of tympanoplasty and the method of ossiculoplasty (columella versus incus interposition) on postoperative ABG and TAC were also compared.\n Results:<\/jats:bold>\n The postoperative ABG improvement in Group B was significantly higher than that in Group A [\u03b2\u2009=\u20097.31, 95% confidence interval (CI)\u2009=\u20091.93-12.69,\n P<\/jats:italic>\n \u2009<\u2009.05]. Type III minor columella tympanoplasty yielded significantly better results than type III major and type Vb tympanoplasty (\u03b2\u2009=\u200911.42, 95% CI\u2009=\u20095.16-17.68,\n P<\/jats:italic>\n \u2009<\u2009.01). There were no significant differences in the postoperative ABG or TAC between the reconstruction groups with and without preservation of malleus.\n Conclusions:<\/jats:bold>\n Our results indicate that complex cases compromised by adhesions, cholesteatoma, and cholesterol granuloma have worse outcomes regarding hearing improvement and success rates, while those with intact stapes suprastructure have better outcomes. Malleus was maximally preserved in the patients of this study; however, this showed no significant prognostic benefit in hearing.\n <\/jats:p>","DOI":"10.1177\/01455613241230843","type":"journal-article","created":{"date-parts":[[2024,2,27]],"date-time":"2024-02-27T07:11:49Z","timestamp":1709017909000},"page":"623-628","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Ossicular Reconstruction With Various Degrees of Malleus Preservation in Patients With Chronic Otitis Media"],"prefix":"10.1177","volume":"105","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4214-6177","authenticated-orcid":false,"given":"Lian-Jie","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan"},{"name":"Department of Medical Informatics, Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo-Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Camillian Saint Mary\u2019s Hospital Luodong, Lotung, Yilan, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peir-Rong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan"},{"name":"Department of Medicine, Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Fu","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan"},{"name":"Department of Medicine, Tzu Chi University, Hualien, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,2,27]]},"reference":[{"key":"e_1_3_3_2_2","author":"Domhoffer JL","year":"2014","unstructured":"Domhoffer JL, Gluth MB. Reconstruction of the Tympanic Membrane and Ossicular Chain: Bailey\u2019s Head and Neck Surgery-Otolaryngology, 5th ed.; Wolters Kluwer Health\/Lippincott Williams & Wilkins; 2014.","journal-title":"Reconstruction of the Tympanic Membrane and Ossicular Chain: Bailey\u2019s Head and Neck Surgery-Otolaryngology"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2016.06.006"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181cfa760"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.5604\/01.3001.0013.5954"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2018.09.005."},{"key":"e_1_3_3_7_2","volume-title":"Surgery of the Ear and Temporal Bone","author":"Nadol JB","year":"2005","unstructured":"Nadol JB, McKenna MJ. Surgery of the Ear and Temporal Bone. Lippincott Williams & Wilkins; 2005."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2018.1425901."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30641-1."},{"issue":"76","key":"e_1_3_3_10_2","first-page":"143","article-title":"Ossiculoplasty: a prospective study of 80 cases","volume":"26","author":"Chavan SS","year":"2014","unstructured":"Chavan SS, Jain PV, Vedi JN, Rai DK, Kadri H. Ossiculoplasty: a prospective study of 80 cases. Iran J Otorhinolaryngol. 2014;26(76):143-150.","journal-title":"Iran J Otorhinolaryngol"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.47210\/bjohns.2019.v27i2.239."}],"container-title":["Ear, Nose & Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241230843","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613241230843","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241230843","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T03:28:17Z","timestamp":1790047697000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613241230843"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,27]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/01455613241230843"],"URL":"https:\/\/doi.org\/10.1177\/01455613241230843","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,27]]}}}