The Journal of International
Advanced Otology

Hearing Rehabilitation of Patients with Chronic Otitis Media: A Discussion of Current State of Knowledge and Research Priorities


Swedish Medical Center, Seattle, United States


Bundang Hospital, Seoul National University, Seongnam, South Korea


Caldas Hospital SES, Manizales, Caldas, Colombia


Hunter ENT, New Lambton Heights, Australia


Medical University of Hannover, Hannover, Germany


ENT Department, Sheffield Teaching Hospitals, Sheffield, UK


All India Institute of Medical Sciences, New Delhi, India


Department of Otorhinolaryngology, Donders Centre for Neurosciences, Radboud University Medical Center, Nijmegen, Netherlands


Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center Groningen, University of Groningen, Groningen, Netherlands


Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, Groningen, Netherlands

J Int Adv Otol 2022; 18: 365-370
DOI: 10.5152/iao.2022.21428
Read: 639 Downloads: 236 Published: 01 July 2022

Although chronic otitis media is a major cause of conductive and mixed hearing loss, auditory rehabilitation is currently not optimal for this patient group. Planning for hearing rehabilitation must accompany strategies for infection control when surgically managing patients with chronic otitis media. Several barriers prevent adequate hearing restoration in such a heterogeneous patient population. A lack of standardized reporting of surgical interventions, hearing, and quality of life outcomes impedes meta-analyses of existing data and the generation of high- quality evidence, including cost-effectiveness data, through prospective studies. This, in turn, prevents the ability of clinicians to stratify patients based on prognostic indicators, which could guide the decision-making pathway. Strategies to improve reporting standards and methods have the potential to classify patients with chronic otitis media preoperatively, which could guide decision-making for hearing restoration with ossicu- loplasty versus prosthetic hearing devices. Appropriately selected clinical guidelines would not only foster directed research but could enhance patient-centered and evidence-based decision-making regarding hearing rehabilitation in the surgical planning process.

Cite this article as: Backous D, Choi BY, Jaramillo R, et al. Hearing rehabilitation of patients with chronic otitis media: A discussion of current state of knowledge and research priorities. J Int Adv Otol. 2022;18(4):365-370.

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