{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T08:05:11Z","timestamp":1779609911545,"version":"3.53.1"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"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"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The role of hearing loss (HL) in surgical outcomes is not well studied and could greatly impact the lives of patients in the post-operative setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This is a retrospective cohort study of adults who underwent subspecialty surgeries in Otolaryngology. Patients were recruited from 58 health care organizations in the TriNetX Research Network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Analysis was performed on data from January 2004 to January 2024. Patients with a history of subspecialty otolaryngologic surgical procedures with HL. Cohorts were matched for demographics, comorbidities, and hearing aid use. Post-surgical complications within 30 days of procedure were compared between patients with HL and those without.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Rates of post-op surgical site infection (SSI) were higher in patients who had HL after Head and Neck (HN) procedures compared to those who did not (AR 2.03%, OR 1.22, [1.01 \u2013 1.48],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Emergency Department (ED) visits after surgery were higher in the HL cohort for HN (AR 8.12%, OR 1.31, [1.20 \u2013 1.49],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01), and Facial Plastic and Reconstructive Surgery (FPRS) (AR 4.58%, OR 1.13, [1.05 \u2013 1.22],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Rates of wound disruption was higher in patients who had HL after HN procedures compared to those who did not (AR 1.34%, OR 1.27, [1.01 \u2013 1.61],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). In otology, HL patients had lower rates of cellulitis and abscess, and wound disruption (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05), along with lower rates of ED visits and readmission (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with HL had a higher risk of ED visits with HN, and FPRS procedures. The rate of SSI and dehiscence was higher in the HL cohort for HN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III (retrospective cohort study).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613261453779","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T22:21:03Z","timestamp":1779315663000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of Hearing Loss in Otolaryngology Surgical Outcomes"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5432-2185","authenticated-orcid":false,"given":"Quentin C.","family":"Durfee","sequence":"first","affiliation":[{"name":"The Pennsylvania State University College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e4nel W.","family":"Eberly","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University College of Medicine"},{"name":"Yale New Haven Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Goldrich","sequence":"additional","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Whitaker","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University College of Medicine"},{"name":"Penn State Milton S. Hershey Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun S.","family":"Patel","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University College of Medicine"},{"name":"Penn State Milton S. Hershey Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2024.1428564"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.506"},{"key":"e_1_3_9_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0046958019896907"},{"key":"e_1_3_9_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2018.2875"},{"key":"e_1_3_9_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glu094"},{"key":"e_1_3_9_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000001152"},{"key":"e_1_3_9_8_2","doi-asserted-by":"publisher","DOI":"10.1200\/CCI.17.00067"},{"key":"e_1_3_9_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/1062860618798926"},{"key":"e_1_3_9_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e3182955480"},{"key":"e_1_3_9_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13113"},{"key":"e_1_3_9_12_2","doi-asserted-by":"publisher","DOI":"10.3928\/24748307-20200511-01"},{"key":"e_1_3_9_13_2","volume-title":"Facilitating Patient Understanding of Discharge Instructions: Workshop Summary","author":"Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine","year":"2014","unstructured":"Roundtable on Health Literacy; Board on Population Health and Public Health Practice; Institute of Medicine. Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. Washington (DC): National Academies Press (US); 2014. 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