{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T19:36:23Z","timestamp":1786995383022,"version":"build-2736575974"},"reference-count":7,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":3273,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2007,6]]},"abstract":"\n Objective<\/jats:title>\n To report the hearing results following type III cartilage \u201cshield\u201d tympanoplasty.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Retrospective chart review at a tertiary referral center.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Conchal cartilage, shaped as a shield, was used to replace the entire tympanic membrane and reconstruct the ossicular chain in patients with an absent incus and diminished space between the stapes superstructure and malleolar manubrium.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Between January 1998 and June 2005, 52 patients were treated. The mean age was 32.4 years (range, 7 to 72 years). The mean follow\u2010up was 24\u00a0months (range, 12 to 36\u00a0months). Graft take was successful in all patients. The average hearing improvement was 11.22\u00a0dB (\n P<\/jats:italic>\n < 0.0001). An air\u2010bone gap of 25\u00a0dB or less was achieved in 41 (78.8%) patients. Speech discrimination scores remained unchanged. No complications were identified.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Type III cartilage \u201cshield\u201d tympanoplasty is an effective technique for hearing improvement in selected patients with chronic otitis media. The results of this procedure are similar to those obtained with partial ossicular replacement prosthesis.<\/jats:p>\n \u00a9 2007 American Academy of Otolaryngology\u2013Head and Neck Surgery Foundation Inc. All rights reserved.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.otohns.2006.12.025","type":"journal-article","created":{"date-parts":[[2007,6,20]],"date-time":"2007-06-20T07:19:19Z","timestamp":1182323959000},"page":"982-985","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Type III cartilage \u201cshield\u201d tympanoplasty: An effective procedure for hearing improvement"],"prefix":"10.1002","volume":"136","author":[{"given":"Efthymios","family":"Kyrodimos","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Virginia Commonwealth University Medical Center Richmond VA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristides","family":"Sismanis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Virginia Commonwealth University Medical Center Richmond VA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Santos","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Virginia Commonwealth University Medical Center Richmond VA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"issue":"1","key":"e_1_2_6_2_1","first-page":"21","article-title":"Composite autograft \u201cshield\u201d reconstruction of remnant tympanic membranes.","volume":"16","author":"Duckert LG","year":"1995","journal-title":"Am J Otol"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00240223"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000185046.38900.1f"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-005-1002-6"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200401000-00011"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.120397"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00010"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2006.12.025","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2006.12.025","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2006.12.025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T08:54:09Z","timestamp":1760950449000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2006.12.025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,6]]}},"alternative-id":["10.1016\/j.otohns.2006.12.025"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2006.12.025","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,6]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}