{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:29:48Z","timestamp":1791210588993,"version":"4.1.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"06","license":[{"start":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T00:00:00Z","timestamp":1559692800000},"content-version":"unspecified","delay-in-days":4,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215119000987_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>This study was undertaken to determine the accuracy of the surgeon's assessment in detecting epithelial remnants over the malleus after de-epithelisation in tympanoplasty.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000987_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Intra-operatively, the umbo was assessed for epithelial remnants with the microscope. The umbo was then resected and sent for histopathological examination to detect epithelial remnants.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000987_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Out of 42 cases, microscopic examination findings for epithelium were positive in 16 cases and negative in 26 cases. Histopathology findings were positive in 13 cases. The surgeons\u2019 assessment was accurate only in two cases.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215119000987_sec_a4\" sec-type=\"conclusion\"><jats:title>Conclusion<\/jats:title><jats:p>Residents, with their limited experience, are more likely to leave residual epithelium. When the chance of residual epithelium over the umbo is significant, the surgeon has two choices: to place the graft medial to the umbo or to resect the umbo. It is our opinion that the malleus exteriorisation should be incorporated into tympanoplasty training, with the aim of preventing epithelial entrapment in the middle ear.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215119000987","type":"journal-article","created":{"date-parts":[[2019,6,4]],"date-time":"2019-06-04T08:44:13Z","timestamp":1559637853000},"page":"462-465","source":"Crossref","is-referenced-by-count":4,"title":["Diagnostic accuracy of intra-operative assessment of de-epithelisation of the malleus by the surgeon in type 1 tympanoplasty compared to histopathological examination"],"prefix":"10.1017","volume":"133","author":[{"given":"A P","family":"Azeez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Letha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,6,4]]},"reference":[{"key":"S0022215119000987_ref19","doi-asserted-by":"publisher","DOI":"10.1007\/s10162-013-0394-z"},{"key":"S0022215119000987_ref20","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100118845"},{"key":"S0022215119000987_ref17","volume-title":"Manual of Middle Ear Surgery","year":"1993"},{"key":"S0022215119000987_ref16","volume-title":"Anatomy of the Temporal Bone with Surgical Implications","year":"1995"},{"key":"S0022215119000987_ref15","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.134.5.501"},{"key":"S0022215119000987_ref9","volume-title":"Transactions of the First Congress of the International Otological Society","year":"1887"},{"key":"S0022215119000987_ref14","first-page":"63","volume":"3","year":"1994","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215119000987_ref8","volume-title":"On the Use of Artificial Membrana Tympani in Cases of Deafness, Dependent upon Perforation or Destruction of the Natural Organ","year":"1853"},{"key":"S0022215119000987_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00007"},{"key":"S0022215119000987_ref7","first-page":"233","volume":"67","year":"1963","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"S0022215119000987_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-015-0846-3"},{"key":"S0022215119000987_ref6","volume-title":"Surgical Techniques in Chronic Otitis Media and Otosclerosis","year":"2008"},{"key":"S0022215119000987_ref11","doi-asserted-by":"publisher","DOI":"10.1007\/BF01640310"},{"key":"S0022215119000987_ref5","volume-title":"Middle Ear and Mastoid Microsurgery","year":"2012"},{"key":"S0022215119000987_ref10","first-page":"627","volume":"1","year":"1878","journal-title":"Wier Med Bull"},{"key":"S0022215119000987_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2010.05405.x"},{"key":"S0022215119000987_ref3","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1007\/BF02907716","volume":"57","year":"2005","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215119000987_ref2","first-page":"1","volume":"107","year":"1997","journal-title":"Laryngoscope"},{"key":"S0022215119000987_ref1","first-page":"455","volume":"65","year":"2012","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"S0022215119000987_ref23","first-page":"165","volume":"79","year":"2011","journal-title":"Med J Cairo Univ"},{"key":"S0022215119000987_ref22","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2011.4.1.24"},{"key":"S0022215119000987_ref21","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0240-6"},{"key":"S0022215119000987_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/000348947808700326"}],"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\/S0022215119000987","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,19]],"date-time":"2022-09-19T08:21:41Z","timestamp":1663575701000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215119000987\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6]]},"references-count":23,"journal-issue":{"issue":"06","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["S0022215119000987"],"URL":"https:\/\/doi.org\/10.1017\/s0022215119000987","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6]]}}}