{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:24:58Z","timestamp":1773059098671,"version":"3.50.1"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"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":[[2025,3]]},"abstract":"Abstract<\/jats:title>\n \n Objective<\/jats:title>\n The success of tympanoplasty is mainly defined by the post-operative integrity of the tympanic membrane, as well as the absence of any need for further operating. Among the factors affecting the outcome, the surgical grafting technique is still a matter of debate. Our aim is to report the results of the split two-layer cartilage\u2013perichondrium technique.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We carried out a retrospective study of 108 consecutive adult patients undergoing myringoplasty, assessing both surgical and audiological outcomes of the split two-layer cartilage\u2013perichondrium technique, including primary and revision cases.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Complete perforation closure was observed in 97\/108 (89.7 per cent) of the cases; 101\/108 (93.5 per cent) had no need for further intervention. Failures were observed only in cases with total perforations without any differences between primary and revision cases. The average air\u2013bone gap improved from 29.75 dB pre-operatively to 5.8 dB post-operatively.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The results indicate high success rates of the technique with failures occurring only in total perforations.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s0022215124000689","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T04:41:51Z","timestamp":1714452111000},"page":"203-207","source":"Crossref","is-referenced-by-count":0,"title":["The split two-layer cartilage\u2013perichondrium underlay technique for tympanoplasty: surgical and functional outcome in 108 adult patients"],"prefix":"10.1017","volume":"139","author":[{"given":"Charikleia","family":"Maiou","sequence":"first","affiliation":[{"name":"Queen Elizabeth University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allanah","family":"McMinigal","sequence":"additional","affiliation":[{"name":"University of Glasgow"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1637-1661","authenticated-orcid":false,"given":"Georgios","family":"Kontorinis","sequence":"additional","affiliation":[{"name":"Queen Elizabeth University Hospital"},{"name":"University of Glasgow"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"S0022215124000689_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.10.018"},{"key":"S0022215124000689_ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-010-1473-y"},{"key":"S0022215124000689_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07186-6"},{"key":"S0022215124000689_ref11","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820931400"},{"key":"S0022215124000689_ref13","first-page":"1455613231182661","article-title":"Comparison of cartilage reinforcement and push-through techniques for the treatment of large perforations","author":"Lou","year":"2023","journal-title":"Ear Nose Throat J"},{"key":"S0022215124000689_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.09.021"},{"key":"S0022215124000689_ref2","doi-asserted-by":"publisher","DOI":"10.1055\/b-002-85469"},{"key":"S0022215124000689_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419843551"},{"key":"S0022215124000689_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2014.08.010"},{"key":"S0022215124000689_ref7","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000808"},{"key":"S0022215124000689_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000537"},{"key":"S0022215124000689_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2020.01.001"},{"key":"S0022215124000689_ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-014-0733-3"},{"key":"S0022215124000689_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26451"},{"key":"S0022215124000689_ref1","first-page":"261","volume-title":"Ballenger's Otorhinolaryngology: Head and Neck Surgery","author":"Telian","year":"2003"}],"container-title":["The Journal of Laryngology & Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215124000689","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T09:38:52Z","timestamp":1773049132000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215124000689\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,30]]},"references-count":15,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S0022215124000689"],"URL":"https:\/\/doi.org\/10.1017\/s0022215124000689","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,30]]}}}