{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:25:10Z","timestamp":1759335910590},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T00:00:00Z","timestamp":1611532800000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121000086_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To compare endoscopic epitympanic exploration with conventional canal wall up (cortical) mastoidectomy for mucosal chronic otitis media in terms of post-operative outcomes.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000086_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Seventy-six patients diagnosed with chronic otitis media (mucosal variety) were randomly assigned to two treatment groups: endoscopic epitympanic exploration and conventional canal wall up (cortical) mastoidectomy. The groups were compared in terms of: post-operative anatomical outcomes (graft uptake), middle-ear physiological outcomes (post-operative tympanometry), audiological outcomes (air\u2013bone gap), surgical time, post-operative pain, vertigo, and long-term complications such as retraction pocket and re-perforation.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000086_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>There was a statistically significant difference between the groups in terms of mean air\u2013bone gap at 12 months, surgical time, and median post-operative pain measured at 6 hours (<jats:italic>p<\/jats:italic>&lt; 0.05). No statistically significant differences were noted in terms of: graft uptake at 1, 3 and 6 months, mean air\u2013bone gap at 3 and 6 months, tympanometry at 3, 6 and 12 months, vertigo at 1 week, or long-term complications.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000086_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Endoscopic epitympanic exploration resulted in significantly better long-term audiological outcomes, shorter operating time and less pain compared with conventional canal wall up (cortical) mastoidectomy.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121000086","type":"journal-article","created":{"date-parts":[[2021,1,25]],"date-time":"2021-01-25T08:25:20Z","timestamp":1611563120000},"page":"39-44","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic epitympanic exploration in mucosal chronic otitis media: is canal wall up mastoidectomy really needed?"],"prefix":"10.1017","volume":"135","author":[{"given":"A","family":"Das","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Mitra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Hazra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Sengupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,1,25]]},"reference":[{"key":"S0022215121000086_ref4","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1002\/lary.20841","article-title":"Selective epitympanic dysventilation syndrome","volume":"120","author":"Marchioni","year":"2010","journal-title":"Laryngoscope"},{"key":"S0022215121000086_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-011-0159-0"},{"key":"S0022215121000086_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.276"},{"key":"S0022215121000086_ref11","doi-asserted-by":"publisher","DOI":"10.1159\/000501912"},{"key":"S0022215121000086_ref7","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200311000-00002"},{"key":"S0022215121000086_ref8","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199708000-00020"},{"key":"S0022215121000086_ref5","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200407000-00005"},{"key":"S0022215121000086_ref2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24165"},{"key":"S0022215121000086_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215108003708"},{"key":"S0022215121000086_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599816662438"},{"key":"S0022215121000086_ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000491493"}],"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\/S0022215121000086","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T01:33:22Z","timestamp":1697679202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215121000086\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["S0022215121000086"],"URL":"https:\/\/doi.org\/10.1017\/s0022215121000086","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}