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22 January 2025 : Database Analysis  

Role of the Carhart Effect and Outcomes from Surgery: A Retrospective Study of 532 Patients with Conductive Hearing Loss Due to Otosclerosis, Otitis Media with Effusion, and Chronic Otitis Media

Kamila Szpak ORCID logo1ABCDEF, Agnieszka Wiatr ORCID logo2BCDE, Maciej Wiatr ORCID logo2ADEG*

DOI: 10.12659/MSM.947061

Med Sci Monit 2025; 31:e947061

Table 5 Chronic otitis media. Association of preoperative depth of Carhart effect with change in average values of cochlear reserve after surgical treatment in the considered age groups.

Carhart effectnDelta ABG Average (dB)Delta ABG SD (dB)Delta ABGMe (dB)Delta ABGmin (dB)Delta ABGmax (dB)OME
Age group 18–29 years old
 <15 dB4413.753.5412.751.2516.25
 >15 dB385.6512.353.75−22.5035.00<0.001
Age group 30–59 years old
 <15 dB962.5514.687.50−26.2521.25
 >15 dB722.7212.434.38−27.5031.25=0.469
Age group over 60 years old
 <15 dB251.457.820.90−11.2513.75
 >15 dB457.019.534.38−1.2520.55=0.008
COM – chronic otitis media; n – number of patients; ABG – air-bone gap; dB – decibel; – significance level; SD – standard deviation; Me – median; Min – minimum; Max – maximum; Delta – shift in BC after performed treatment.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750