{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T20:51:55Z","timestamp":1775595115954,"version":"3.50.1"},"reference-count":8,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T00:00:00Z","timestamp":1532390400000},"content-version":"vor","delay-in-days":3552,"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":[[2008,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine whether bivalve inlay cartilage\u2010perichondrium myringoplasty (BCM) is successful in closing tympanic membrane perforations in an office setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective case review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Adult patients with chronic perforations underwent BCM under local and topical anesthesia. Success was defined as complete closure of perforation at follow\u2010up of at least 1\u00a0month. Predictors of success were identified by comparing the success and failure groups on pre\u2010 and postoperative pure tone average (PTA), patient demographics (age, gender), and characteristics of the perforations (size, location, duration, etiology).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 145 procedures were performed and the patients were followed for 1 to 78\u00a0months. The success rate for perforations smaller than 4\u00a0mm was 75 percent. Size of the perforation, and pre\u2010 and postoperative PTAs were significantly different between the two groups. The only significant predictors of success were preoperative PTA and size of perforation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BCM is a viable option for closure of small and medium\u2010sized perforations in an office setting.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2008.08.007","type":"journal-article","created":{"date-parts":[[2008,11,10]],"date-time":"2008-11-10T03:10:38Z","timestamp":1226286638000},"page":"630-634","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Bivalve Cartilage Inlay Myringoplasty: An Office\u2010Based Procedure for Closing Small to Medium\u2010Sized Tympanic Membrane Perforations"],"prefix":"10.1002","volume":"139","author":[{"given":"Ashkan","family":"Monfared","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Stanford University Medical Center Palo Alto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris M.","family":"Bergeron","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Stanford University Medical Center Palo Alto"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Ortiz","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Oregon Health &amp; Science University Portland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychology California State University Northridge"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Kamine","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery Kaiser Permanente Santa Clara Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Todd","family":"Dray","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery Kaiser Permanente Santa Clara Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gunsalus","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head and Neck Surgery Kaiser Permanente Santa Clara Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,24]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199805000-00006"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200108000-00027"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200503000-00020"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.105994"},{"key":"e_1_2_1_6_1","first-page":"447","article-title":"Cartilage palisade tympanoplasty","volume":"10","author":"Amedee R.G","year":"1989","journal-title":"Am J Otol"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200303000-00022"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2003.88"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000231742.11048.ed"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0194599808013016?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.08.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0194599808013016?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2008.08.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:07:51Z","timestamp":1760965671000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2008.08.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,11]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,11]]}},"alternative-id":["10.1016\/j.otohns.2008.08.007"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2008.08.007","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,11]]},"assertion":[{"value":"2008-05-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2008-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}