{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T20:24:19Z","timestamp":1785875059599,"version":"3.56.0"},"reference-count":44,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215120001978_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>This study aimed to describe the microscopic over-under cartilage tympanoplasty technique, provide hearing results and detail clinically significant complications.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001978_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>This was a retrospective case series chart review study of over-under cartilage tympanoplasty procedures performed by the senior author between January 2015 and January 2019 at three tertiary care centres. Cases were excluded for previous or intra-operative cholesteatoma, if a mastoidectomy was performed during the procedure or if ossiculoplasty was performed. Hearing results and complications were obtained.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001978_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Sixty-eight tympanoplasty procedures met the inclusion criteria. The median age was 13 years (range, 3\u201371 years). The mean improvement in pure tone average was 6 dB (95 per cent confidence interval 4\u20139 dB;<jats:italic>p &lt;<\/jats:italic>0.0001). The overall perforation closure rate was 97 per cent (<jats:italic>n =<\/jats:italic>66). Revision surgery was recommended for a total of 6 cases (9 per cent) including 2 post-operative perforations, 1 case of middle-ear cholesteatoma and 3 cases of external auditory canal scarring.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215120001978_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Over-under cartilage tympanoplasty is effective at improving clinically meaningful hearing with a low rate of post-operative complications.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215120001978","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T08:27:06Z","timestamp":1601972826000},"page":"875-881","source":"Crossref","is-referenced-by-count":9,"title":["Over-under cartilage tympanoplasty: technique, results and a call for improved reporting"],"prefix":"10.1017","volume":"134","author":[{"given":"I D","family":"Erbele","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M 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