{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T12:56:18Z","timestamp":1785761778737,"version":"3.56.0"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T00:00:00Z","timestamp":1627257600000},"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":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215121002012_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>A prospective randomised study was undertaken to compare the results of type 1 tympanoplasty with and without middle-ear packing with gelfoam.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121002012_sec_a2\" sec-type=\"methods\"><jats:title>Method<\/jats:title><jats:p>Eighty patients undergoing type 1 tympanoplasty were randomised into two groups according to packing in the middle ear: with gelfoam and without gelfoam. The data in terms of graft uptake rate, hearing gain and subjective improvement were analysed at one and three months.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121002012_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>The graft uptake rate between both groups did not show a statistically significant difference. There was conductive hearing loss in the gelfoam group in the early post-operative period. Subjectively, patients were more comfortable with respect to heaviness and hearing gain than in the non-gelfoam group.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215121002012_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Gelfoam use in middle-ear packing is not an essential step and causes more discomfort in patients during the early post-operative period. It should be a surgeon's choice to use it when and where it is necessary.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215121002012","type":"journal-article","created":{"date-parts":[[2021,7,26]],"date-time":"2021-07-26T11:14:09Z","timestamp":1627298049000},"page":"864-868","source":"Crossref","is-referenced-by-count":8,"title":["Efficacy of middle-ear packing in success of type 1 tympanoplasty: a prospective randomised study"],"prefix":"10.1017","volume":"135","author":[{"given":"S R","family":"Sahoo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Tripathi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Kumari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Rastogi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2021,7,26]]},"reference":[{"key":"S0022215121002012_ref8","doi-asserted-by":"publisher","DOI":"10.1177\/000348945606500416"},{"key":"S0022215121002012_ref15","first-page":"319","article-title":"Factor influencing the outcome in type I tympanoplasty","volume":"4","author":"Gristwood","year":"1993","journal-title":"Aust J Otolaryngol"},{"key":"S0022215121002012_ref6","first-page":"585","article-title":"Biologic investigations of a new absorbable sponge","volume":"81","author":"Correll","year":"1945","journal-title":"Surg Gynecol Obstet"},{"key":"S0022215121002012_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510005876X"},{"key":"S0022215121002012_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/000348945706600401"},{"key":"S0022215121002012_ref21","first-page":"103","article-title":"Patient's satisfaction with tympanoplasty","volume":"12","author":"Aihara","year":"2002","journal-title":"Otol Jpn"},{"key":"S0022215121002012_ref18","doi-asserted-by":"publisher","DOI":"10.1017\/S002221511600596X"},{"key":"S0022215121002012_ref19","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.5.534"},{"key":"S0022215121002012_ref12","doi-asserted-by":"crossref","first-page":"269","DOI":"10.15406\/joentr.2018.10.00359","article-title":"Modified technique of underlay myringoplasty","volume":"10","author":"Rastogi","year":"2018","journal-title":"J Otolaryngol ENT Res"},{"key":"S0022215121002012_ref13","first-page":"1408270","article-title":"A historical review of Indian perspectives on techniques of tympanoplasty","author":"Malhotra","year":"2020","journal-title":"Int J Otolaryngol"},{"key":"S0022215121002012_ref3","first-page":"546","article-title":"The efficacy of hyaluronic acid foam as a middle ear packing agent in experimental tympanoplasty","volume":"19","author":"Krupala","year":"1998","journal-title":"Am J Otol"},{"key":"S0022215121002012_ref9","first-page":"321","article-title":"Tissue reaction to middle ear prostheses: in vivo observation (rabbit ear lobe) of polyethylene tube, stainless steel wire and absorbable gelatin sponge used in middle ear surgery","volume":"30","author":"Ohsaki","year":"1976","journal-title":"Acta Med Okayama"},{"key":"S0022215121002012_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2004.03.010"},{"key":"S0022215121002012_ref23","doi-asserted-by":"publisher","DOI":"10.1272\/jnms.71.17"},{"key":"S0022215121002012_ref17","first-page":"65","article-title":"Tympanoplasty without use of gel-foam in the middle ear","volume":"20","author":"Ghiasi","year":"2008","journal-title":"Iran J Otorhinolaryngol"},{"key":"S0022215121002012_ref5","doi-asserted-by":"publisher","DOI":"10.3109\/00016488309132899"},{"key":"S0022215121002012_ref20","doi-asserted-by":"publisher","DOI":"10.1080\/03655230701624897"},{"key":"S0022215121002012_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106005561"},{"key":"S0022215121002012_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2004.00805.x"},{"key":"S0022215121002012_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2017.04.002"},{"key":"S0022215121002012_ref1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196211000-00003"},{"key":"S0022215121002012_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1986.tb00125.x"},{"key":"S0022215121002012_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21470"}],"container-title":["The Journal of Laryngology &amp; 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