{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T23:33:05Z","timestamp":1778283185156,"version":"3.51.4"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118000889_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Microscopic myringoplasty is the most frequently performed procedure for repairing tympanic membrane perforations. The endoscopic transcanal approach bypasses the narrow ear canal segment and provides a wider view.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000889_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>An open-label randomised clinical trial was conducted on 56 patients with small anterior tympanic membrane perforations. Perforations were repaired with an endoscopic push-through technique (<jats:italic>n<\/jats:italic>= 28) or a microscopic underlay technique (<jats:italic>n<\/jats:italic>= 28). Follow up was conducted using endoscopic examination and pure tone audiometry three months\u2019 post-operatively.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000889_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Graft success rate was 92.9 per cent in the endoscopic group versus 85.7 per cent in the microscopic group. The corresponding pre-operative mean air\u2013bone gaps were 17.4 dB and 18.5 dB, improving to 6.1 dB and 9.3 dB post-operatively (<jats:italic>p<\/jats:italic>&amp;gt; 0.05). Mean air\u2013bone gap closure was 11.4 dB in the endoscopic group and 9.2 dB in the microscopic group (<jats:italic>p<\/jats:italic>&amp;gt; 0.05). Mean operative time and estimated blood loss were 37.0 minutes and 29 ml in the endoscopic group, versus 107 minutes and 153 ml in the microscopic group (both<jats:italic>p<\/jats:italic>&amp;lt; 0.05).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118000889_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>The endoscopic push-through technique for anterior tympanic membrane perforations is as effective as microscopic underlay myringoplasty; furthermore, it is less invasive and takes less operative time.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118000889","type":"journal-article","created":{"date-parts":[[2018,6,18]],"date-time":"2018-06-18T06:48:03Z","timestamp":1529304483000},"page":"509-513","source":"Crossref","is-referenced-by-count":38,"title":["Endoscopic push-through technique compared to microscopic underlay myringoplasty in anterior tympanic membrane perforations"],"prefix":"10.1017","volume":"132","author":[{"given":"D E M","family":"El-Hennawi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M R","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A S","family":"Abou-Halawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M A","family":"Al-Hamtary","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,6,18]]},"reference":[{"key":"S0022215118000889_ref9","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1017\/S0022215108001813","volume":"122","year":"2008","journal-title":"J Laryngol Otol"},{"key":"S0022215118000889_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.10.009"},{"key":"S0022215118000889_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.10.005"},{"key":"S0022215118000889_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.10.001"},{"key":"S0022215118000889_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2056-x"},{"key":"S0022215118000889_ref4","first-page":"758598","volume":"2013","year":"2013","journal-title":"Biomed Res Int"},{"key":"S0022215118000889_ref16","doi-asserted-by":"crossref","first-page":"1844","DOI":"10.1097\/00005537-200311000-00002","volume":"113","year":"2003","journal-title":"Laryngoscope"},{"key":"S0022215118000889_ref3","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23747"},{"key":"S0022215118000889_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2673-z"},{"key":"S0022215118000889_ref2","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2015.8.3.224"},{"key":"S0022215118000889_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.08.025"},{"key":"S0022215118000889_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-010-0007-7"},{"key":"S0022215118000889_ref13","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2016.00080"},{"key":"S0022215118000889_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.04.013"},{"key":"S0022215118000889_ref11","first-page":"481","volume":"37","year":"2008","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"S0022215118000889_ref8","volume-title":"Glasscock-Shambaugh's Surgery of the Ear","year":"2003"}],"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\/S0022215118000889","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T04:44:21Z","timestamp":1751690661000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215118000889\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6]]},"references-count":16,"journal-issue":{"issue":"06","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["S0022215118000889"],"URL":"https:\/\/doi.org\/10.1017\/s0022215118000889","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6]]}}}