{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:34:50Z","timestamp":1761744890976},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"11","license":[{"start":{"date-parts":[[2018,10,31]],"date-time":"2018-10-31T00:00:00Z","timestamp":1540944000000},"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":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215118001937_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Anteriorly located tympanic membrane perforations can negatively affect surgical success rates. This study aimed to present, using our case series results, endoscopic triple-C (composite chondroperichondrial clip) tympanoplasty as an alternative method in the repair of tympanic membrane anterior quadrant perforations.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001937_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>This study included patients with a perforation sized greater than 3 mm, who had an anterior quadrant dominant perforation where the anterior portion could not be seen during microscopic examination; all underwent endoscopic triple-C tympanoplasty.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001937_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Operating time was 30\u201379 minutes (mean, 46.6 minutes). The post-operative graft success rate at six months was 92 per cent (23 out of 25). Mean post-operative follow-up duration was 21.5 \u00b1 7.3 months (range, 11\u201340 months), and no intratympanic cholesteatoma was observed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215118001937_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Endoscopic triple-C tympanoplasty is a comfortable, minimally invasive alternative method to repair anterior tympanic membrane perforations. The graft success rate and the degree of recovery from hearing loss were in accordance with the literature. However, more reliable results may be obtained in a larger series with longer follow-up times.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215118001937","type":"journal-article","created":{"date-parts":[[2018,10,31]],"date-time":"2018-10-31T04:41:05Z","timestamp":1540960865000},"page":"1007-1009","source":"Crossref","is-referenced-by-count":7,"title":["Endoscopic triple-C tympanoplasty: an alternative approach to anteriorly located tympanic membrane repair"],"prefix":"10.1017","volume":"132","author":[{"given":"H","family":"Demirhan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6","family":"Yi\u011fit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Hamit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"\u00c7ak\u0131r","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2018,10,31]]},"reference":[{"key":"S0022215118001937_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4645-1"},{"key":"S0022215118001937_ref20","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198709000-00013"},{"key":"S0022215118001937_ref6","doi-asserted-by":"publisher","DOI":"10.1258\/0022215021911220"},{"key":"S0022215118001937_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2673-z"},{"key":"S0022215118001937_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113000595"},{"key":"S0022215118001937_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199708000-00016"},{"key":"S0022215118001937_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2056-x"},{"key":"S0022215118001937_ref3","first-page":"115","article-title":"Tympanoplasty for the anterior-superior perforation in children","volume":"17","author":"Potsic","year":"1996","journal-title":"Am J Otol"},{"key":"S0022215118001937_ref18","doi-asserted-by":"crossref","first-page":"185","DOI":"10.3126\/kumj.v11i2.12500","article-title":"How I do it? 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