{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:34:28Z","timestamp":1793831668546,"version":"4.6.1"},"reference-count":33,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T00:00:00Z","timestamp":1615420800000},"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":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121000645_sec_a1\"><jats:title>Objectives<\/jats:title><jats:p>This study aimed to compare graft take rate after tympanoplasty between adults and paediatric patients, cartilage and fascia grafts, and overlay and underlay techniques.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000645_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Data were analysed in groups according to the technique (underlay <jats:italic>vs<\/jats:italic> overlay), age (paediatric patients <jats:italic>vs<\/jats:italic> adults) and graft (cartilage <jats:italic>vs<\/jats:italic> temporalis fascia). The main outcome measures were full graft take and the incidence of complications.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000645_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A total of 198 patients (208 ears) were included. Overall, full graft take was achieved in 200 ears (96 per cent). The success rate was higher in adults compared with paediatric patients (97.5 per cent <jats:italic>vs<\/jats:italic> 92.25, respectively) but the difference was insignificant. Similarly, higher but insignificant graft take rate was found in the cartilage group compared with fascia group (98.6 per cent <jats:italic>vs<\/jats:italic> 94.9 per cent, respectively).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121000645_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>All cases of overlay tympanoplasty had full graft take (success rate 100 per cent). In the underlay group, successful graft take was achieved in 154 cases (95 per cent). 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