{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T23:50:04Z","timestamp":1788393004246,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4795,"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":[[2003,4]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>This study was designed to evaluate the results of paper\u2010patch myringoplasty in patients with chronic perforations of the tympanic membrane of different sizes.<\/jats:p><jats:p><jats:italic>STUDY DESIGN AND SETTING: A<\/jats:italic> retrospective survey of paper\u2010patch myringoplasties performed in a tertiary referral academic medical center on 77 patients with chronic perforations of the eardrum was carried out. Data consisted of the causes of the perforations, time the perforations had been present, their size, number of patch applications, duration of application, and number of successfully closed perforations.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Closure rate was 63.2%, 43.5%, and 12.5% for small, medium, and large perforations, respectively. Small perforations needed the least number of repeated applications and the least time for closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS AND SIGNIFICANCE<\/jats:title><jats:p>Paper patching is technically simple, time saving, safe to perform, cost effective, and suitable as an outpatient procedure and has a good success rate, It should be tried in perforations smaller than 5\u00a0mm before a patient is referred for surgery.<\/jats:p><\/jats:sec>","DOI":"10.1016\/s0194-59980300124-4","type":"journal-article","created":{"date-parts":[[2022,9,28]],"date-time":"2022-09-28T13:26:48Z","timestamp":1664371608000},"page":"565-570","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Paper Patching for Chronic Tympanic Membrane Perforations"],"prefix":"10.1002","volume":"128","author":[{"given":"Avishay","family":"Golz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Goldenberg","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aviram","family":"Netzer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milo","family":"Fradis","sequence":"additional","affiliation":[{"name":"Bnei Zion Medical Center Haifa Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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