{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T21:48:46Z","timestamp":1767649726981},"reference-count":22,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T00:00:00Z","timestamp":1361750400000},"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":[[2013,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215113000157_sec1\"><jats:title>Background:<\/jats:title><jats:p>The main aim of tympanic membrane repair is the elimination of chronic or intermittent aural discharge. Hearing improvement may or may not occur following a technically successful operation.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000157_sec2\"><jats:title>Method:<\/jats:title><jats:p>This study entailed a retrospective analysis of prospectively collected data from 203 operations that resulted in an intact tympanic membrane 6 months after surgery.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000157_sec3\"><jats:title>Results:<\/jats:title><jats:p>Complete hearing data were available for 169 operations on 160 patients. Of these, 53 per cent resulted in closure of the air\u2013bone gap to within 10\u00a0dB, and 54 per cent of cases had post-operative hearing thresholds of at least 30\u00a0dB. The mean hearing change after surgery was +8.3\u00a0dB. Multiple regression analysis indicated that hearing improvement was more likely in large compared with small perforations. Smaller hearing gains occurred in ears with erosion of the stapes arch and\/or fixation of the stapes, as well as in those with active discharge at the time of surgery and in revision cases.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215113000157_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Greater hearing improvement can be expected following successful repair of perforations involving more than 50 per cent of the drum area. Poorer results are likely to occur in ears with additional middle-ear pathology and in revision cases.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215113000157","type":"journal-article","created":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T04:29:56Z","timestamp":1361766596000},"page":"349-353","source":"Crossref","is-referenced-by-count":8,"title":["Factors affecting hearing improvement following successful repair of the tympanic membrane"],"prefix":"10.1017","volume":"127","author":[{"given":"G","family":"Thiel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RP","family":"Mills","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Mills","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2013,2,25]]},"reference":[{"key":"S0022215113000157_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510011847X"},{"key":"S0022215113000157_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.surge.2010.07.001"},{"key":"S0022215113000157_ref21","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2002.00590.x"},{"key":"S0022215113000157_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00896.x"},{"key":"S0022215113000157_ref8","doi-asserted-by":"publisher","DOI":"10.3402\/ijch.v67i5.18352"},{"key":"S0022215113000157_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(99)00043-7"},{"key":"S0022215113000157_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100120316"},{"key":"S0022215113000157_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110002069"},{"key":"S0022215113000157_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.11.026"},{"key":"S0022215113000157_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(12)80074-5"},{"key":"S0022215113000157_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110002276"},{"key":"S0022215113000157_ref15","first-page":"577","article-title":"Hearing results and an analysis of related impact factors following myringoplasty","volume":"22","author":"Wang","year":"2008","journal-title":"J Clin Otorhinolaryngol Head Neck Surg"},{"key":"S0022215113000157_ref22","doi-asserted-by":"publisher","DOI":"10.1159\/000241095"},{"key":"S0022215113000157_ref1","first-page":"155","article-title":"Early and late functional hearing results from a modified technique for tympanoplasty [in German]","volume":"26","author":"Giesen","year":"1978","journal-title":"HNO"},{"key":"S0022215113000157_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":"S0022215113000157_ref6","first-page":"455","article-title":"Hearing results after myringoplasty","volume":"4","author":"Shrestha","year":"2006","journal-title":"Kathmandu Univ Med J (KUMJ)"},{"key":"S0022215113000157_ref7","first-page":"429","article-title":"Myringoplasty: surgical outcomes and hearing improvement: is it worth performing to improve hearing?","volume":"15","author":"Karela","year":"2008","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"S0022215113000157_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2010.05.004"},{"key":"S0022215113000157_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/000348949610500601"},{"key":"S0022215113000157_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000176177.17636.53"},{"key":"S0022215113000157_ref18","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21470"},{"key":"S0022215113000157_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108003708"}],"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\/S0022215113000157","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T15:02:23Z","timestamp":1556118143000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215113000157\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,25]]},"references-count":22,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["S0022215113000157"],"URL":"https:\/\/doi.org\/10.1017\/s0022215113000157","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,25]]}}}