{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:52:57Z","timestamp":1747173177668,"version":"3.40.5"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T00:00:00Z","timestamp":1647820800000},"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":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122000779_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>Management of tympanic membrane perforations is varied. This study aimed to better understand current practice patterns in myringoplasty and type 1 tympanoplasty.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000779_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>An electronic questionnaire was distributed to American Academy of Otolaryngology \u2013 Head and Neck Surgery members. Practice patterns were compared in terms of fellowship training, practice length, practice setting, paediatric case frequency and total cases per year.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000779_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Of the 321 respondents, most were comprehensive otolaryngologists (60.4 per cent), in private practice (60.8 per cent), with a primarily adult practice (59.8 per cent). Fellowship training was the factor most associated with significant variations in management, including pre-operative antibiotic usage (<jats:italic>p<\/jats:italic> = 0.019), contraindications (<jats:italic>p<\/jats:italic> &lt; 0.001), approach to traumatic perforations (<jats:italic>p<\/jats:italic> &lt; 0.001), use of local anaesthesia (<jats:italic>p<\/jats:italic> &lt; 0.001), graft material (<jats:italic>p<\/jats:italic> &lt; 0.001), tympanoplasty technique (<jats:italic>p<\/jats:italic> = 0.003), endoscopic assistance (<jats:italic>p<\/jats:italic> &lt; 0.001) and timing of post-operative audiology evaluation (<jats:italic>p<\/jats:italic> = 0.003).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000779_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>Subspecialty training appears to be the main variable associated with significant differences in peri-operative decision-making for surgical repair of tympanic membrane perforations.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122000779","type":"journal-article","created":{"date-parts":[[2022,3,21]],"date-time":"2022-03-21T07:29:58Z","timestamp":1647847798000},"page":"249-258","source":"Crossref","is-referenced-by-count":0,"title":["Current variations and practice patterns in tympanic membrane perforation repair"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8032-5291","authenticated-orcid":false,"given":"S","family":"Benyo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Saadi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C D","family":"Sacks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Patel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T S","family":"King","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Isildak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,3,21]]},"reference":[{"key":"S0022215122000779_ref4","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1001\/archotol.1994.01880260010003","article-title":"Fasciaform myringoplasty in children","volume":"120","author":"MacDonald","year":"1994","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"S0022215122000779_ref17","first-page":"366","article-title":"Overlay versus underlay myringoplasty: report of outcomes considering closure of perforation and hearing function","volume":"31","author":"Sergi","year":"2011","journal-title":"Acta Otorhinolaryngol Ital"},{"key":"S0022215122000779_ref24","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1017\/S0022215100091246","article-title":"Myringoplasty: short and long-term results in a training program","volume":"95","author":"Sad\u00e9","year":"1981","journal-title":"J Laryngol Otol"},{"key":"S0022215122000779_ref29","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.ijporl.2005.02.016","article-title":"Tympanoplasty type I in children--an evaluative study","volume":"69","author":"Singh","year":"2005","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"S0022215122000779_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.01.038"},{"key":"S0022215122000779_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818764335"},{"key":"S0022215122000779_ref30","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25048"},{"key":"S0022215122000779_ref26","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1097\/MOO.0b013e3282f43430","article-title":"Pediatric tympanoplasty: factors affecting success","volume":"16","author":"Lin","year":"2008","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"key":"S0022215122000779_ref8","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1080\/00016489.2019.1637541","article-title":"Comparison of type I tympanoplasty with acellular dermal allograft and cartilage perichondrium","volume":"139","author":"Yang","year":"2019","journal-title":"Acta Otolaryngol"},{"key":"S0022215122000779_ref37","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/MAO.0b013e318278c1e3","article-title":"Fat myringoplasty outcome analysis with otoendoscopy: who is the suitable patient","volume":"34","author":"Konstantinidis","year":"2013","journal-title":"Otol Neurotol"},{"key":"S0022215122000779_ref11","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/MAO.0b013e318254fbc2","article-title":"Is cartilage tympanoplasty more effective than fascia tympanoplasty? 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