Abstract
INTRODUCTION: Despite the increasing number of female trainees in otology and neurotology, women remain underreported in academic medicine. This gender disparity persists in high-impact research, where women are less represented as first and corresponding authors. METHODS: The top 100 most-cited articles from Otology & Neurotology (1980-2024) were identified using total citation counts. First and corresponding author gender was determined, and trends in female authorship were analyzed over time. RESULTS: A total of 7,485 Otology & Neurotology articles published between 1980 and 2024 were reviewed and the top 100 cited studies (1.3%) were identified. Women accounted for 29% of first authors and 23% of corresponding authors, with a significant increase in female authorship over time. However, overall representation remains disproportionately low. DISCUSSION: Our study highlights the persistent underrepresentation of women in otology and neurotology research, despite their growing presence in medicine. Additional efforts are needed to promote greater inclusivity in academic literature of otology and neurotology.