{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T21:59:03Z","timestamp":1775599143283,"version":"3.50.1"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2009,1,12]],"date-time":"2009-01-12T00:00:00Z","timestamp":1231718400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,9]]},"abstract":"Abstract<\/jats:title>Objectives:<\/jats:title>To investigate the impact of perforation size and other variables on the success of myringoplasty, and also to determine audiological gain following successful closure of tympanic membrane perforations of various sizes.<\/jats:p><\/jats:sec>Study design:<\/jats:title>Retrospective analysis of 130 case notes.<\/jats:p><\/jats:sec>Main outcome measures:<\/jats:title>(1) Successful closure of tympanic membrane following myringoplasty, in relation to recorded variables (i.e. perforation size, grade of surgeon, surgical technique, graft material, previous myringoplasty and smoking history). (2) Mean, four-frequency, air conduction audiometric gain following successful myringoplasty for various, pre-operatively categorised tympanic membrane perforation sizes.<\/jats:p><\/jats:sec>Results and Conclusion:<\/jats:title>The collective myringoplasty success rate was 80.8 per cent (105\/130); for successful patients, the mean air conduction audiometric gain was \u22126.8\u00a0dB (t<\/jats:italic>\u00a0=\u00a05.29, p<\/jats:italic>\u00a0<\u00a00.0001). Neither perforation size nor any other assessed variable was a statistically significant determinant factor for successful myringoplasty. Air conduction audiometric gains following successful myringoplasty were directly correlated with pre-operative perforation size (\u22124.0\u00a0dB for 0\u201320 per cent perforations, \u22125.0\u00a0dB for 21\u201340 per cent, \u22129.1\u00a0dB for 41\u201360 per cent, \u221210.8\u00a0dB for 61\u201380 per cent and \u221213.3\u00a0dB for 81\u2013100 per cent).<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109004368","type":"journal-article","created":{"date-parts":[[2009,1,12]],"date-time":"2009-01-12T04:38:45Z","timestamp":1231735125000},"page":"973-977","source":"Crossref","is-referenced-by-count":38,"title":["Myringoplasty: impact of perforation size on closure and audiological improvement"],"prefix":"10.1017","volume":"123","author":[{"given":"J D","family":"Wasson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C E","family":"Papadimitriou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Pau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2009,1,12]]},"reference":[{"key":"S0022215109004368_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1993.tb00632.x"},{"key":"S0022215109004368_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100093270"},{"key":"S0022215109004368_ref1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1999.00227.x"},{"key":"S0022215109004368_ref7","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011907893"},{"key":"S0022215109004368_ref3","first-page":"229","article-title":"Retrospective analysis of surgical outcome, symptom changes, and hearing improvement following myringoplasty","volume":"29","author":"Bhat","year":"2000","journal-title":"J Otolaryngol"},{"key":"S0022215109004368_ref9","first-page":"532","article-title":"Myringoplasty: long-term results in adults and children","volume":"16","author":"Gersdoff","year":"1995","journal-title":"Am J Otol"},{"key":"S0022215109004368_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1995.tb01858.x"},{"key":"S0022215109004368_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(94)01067-8"},{"key":"S0022215109004368_ref10","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00590.x"},{"key":"S0022215109004368_ref4","first-page":"41","article-title":"Myringoplasty \u2013 effects on hearing and contributing factors","volume":"85","author":"Black","year":"1995","journal-title":"S Afr Med J"},{"key":"S0022215109004368_ref12","first-page":"301","article-title":"Success and pitfalls in myringoplasty: Follow-up study of 404 cases","volume":"14","author":"Vartiainen","year":"1993","journal-title":"Am J Otol"},{"key":"S0022215109004368_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200110000-00026"},{"key":"S0022215109004368_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.129.10.1053"},{"key":"S0022215109004368_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1995.tb00053.x"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215109004368","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,30]],"date-time":"2019-04-30T07:54:37Z","timestamp":1556610877000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215109004368\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,1,12]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["S0022215109004368"],"URL":"https:\/\/doi.org\/10.1017\/s0022215109004368","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,1,12]]}}}