{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T17:20:46Z","timestamp":1774891246929,"version":"3.50.1"},"reference-count":8,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":5658,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Surgical closure of the anteriorly located tympanic membrane perforation can present a problem. The lack of anterior support for the graft frequently leads to graft failure if an underlay method is used whereas anterior blunting is a complication of onlay techniques in this situation. The experience with the Kerr flap, an underlay graft fashioned to include a tab of fascia which is placed laterally under the annulus and the anterior meatal skin, is presented. This method gave a 97.5 per cent closure rate with no cases of anterior marginal blunting and a mean auditory threshold gain of 8.5 dB (95 per cent confidence limits 5 to 11.9 dB, <jats:italic>P<\/jats:italic>&lt;O.O1) was achieved at the frequencies tested. The use of the Kerr flap is recommended when repairing the anteriorly placed tympanic membrane perforation<\/jats:p>","DOI":"10.1017\/s002221510011847x","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T10:18:21Z","timestamp":1196417901000},"page":"14-16","source":"Crossref","is-referenced-by-count":32,"title":["Myringoplasty for the anterior perforation: experience with the Kerr flap"],"prefix":"10.1017","volume":"106","author":[{"given":"J. F.","family":"Sharp","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. F.","family":"Terzis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Robinson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S002221510011847X_ref001","first-page":"136","article-title":"Trommelfellplastik mit Fasciengewebe vom Musculus temporalis nach Begradigung der vorderen Geh\u00f6rgangswand","volume":"9","author":"Heermann","year":"1961","journal-title":"Hals Nasen und Ohren"},{"key":"S002221510011847X_ref006","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195608000-00008"},{"key":"S002221510011847X_ref005","doi-asserted-by":"publisher","DOI":"10.1007\/BF02129204"},{"key":"S002221510011847X_ref007","first-page":"104","article-title":"Die Radikal Operation mit Besonderem Bezug auf die H\u00f6orfunktion","volume":"30","author":"Z\u00f6llner","year":"1951","journal-title":"Zeitschrift f\u00fcr Laryngologie Rhinologie und Otologie"},{"key":"S002221510011847X_ref002","first-page":"171","volume-title":"Head and Neck Surgery Indications, Techniques and Pitfalls","volume":"3","author":"Kley","year":"1982"},{"key":"S002221510011847X_ref004","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1961.00740030048010"},{"key":"S002221510011847X_ref008","first-page":"301","article-title":"Panel on Myringoplasty methods (2nd workshop, reconstructive middle ear surgery)","volume":"78","author":"Z\u00f6llner","year":"1963","journal-title":"Archives of Otolaryngology"},{"key":"S002221510011847X_ref003","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1986.tb00125.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S002221510011847X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,17]],"date-time":"2019-05-17T19:31:50Z","timestamp":1558121510000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S002221510011847X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["S002221510011847X"],"URL":"https:\/\/doi.org\/10.1017\/s002221510011847x","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[1992,1]]}}}