{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T15:04:36Z","timestamp":1777475076334,"version":"3.51.4"},"reference-count":6,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T00:00:00Z","timestamp":1618963200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T00:00:00Z","timestamp":1618963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001652","name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001652","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The reconstruction of anterior or subtotal tympanic membrane perforations is critical due to the risk of anterior graft medialisation and retraction or recurrent perforation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>After reconstruction of the tympanic membrane by means of grafting, a rectangular cartilage strut (length 6\u00a0mm, breadth 2\u00a0mm, thickness 0.1\u00a0mm) is prepared using a cartilage knife and scalpel. This strut graft is placed between the cartilage graft and the promontory in the anterior inferior part of the middle ear cavity.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Our experience shows that using a <jats:italic>U<\/jats:italic>-shaped cartilage strut to sustain the tympanic reconstruction effectively prevents the medialisation of the graft and recurrent perforations.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-021-06814-5","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T21:02:50Z","timestamp":1619038970000},"page":"2653-2656","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cartilaginous bending spring for preventing tympanic membrane graft medialisation in anterior or subtotal tympanic membrane perforations\u2014how I do it"],"prefix":"10.1007","volume":"278","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4948-8882","authenticated-orcid":false,"given":"Konstantinos","family":"Mantsopoulos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heinrich","family":"Iro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Hornung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,4,21]]},"reference":[{"key":"6814_CR1","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1177\/000348948609500501","volume":"95","author":"EL Applebaum","year":"1986","unstructured":"Applebaum EL, Deutsch EC (1986) An endoscopic method of tympanic membrane fluorescein angiography. 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Acta Otolaryngol 135:429\u2013434","journal-title":"Acta Otolaryngol"},{"key":"6814_CR6","doi-asserted-by":"publisher","first-page":"e173","DOI":"10.1097\/MAO.0000000000002147","volume":"40","author":"AE Bluher","year":"2019","unstructured":"Bluher AE, Mannino EA, Strasnick B (2019) Longitudinal analysis of \u201cwindow shade\u201d tympanoplasty outcomes for anterior marginal tympanic membrane perforations. 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