{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T14:24:37Z","timestamp":1761575077024,"version":"build-2065373602"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"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":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125000490_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify \u2018on-table optimal meatal opening size\u2019 that predicts post-operative mastoid cavity healing in the canal wall down tympanomastoidectomy. To develop a specific, measurable, achievable, acceptable, replicable and time-bound (SMAART) meatoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125000490_sec2b\">\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A double-blind randomised control trial where patients were randomly assigned to standard Portmann 3 flap and new SMAART 2 flap technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125000490_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 18 and 17 participants in the former and latter, respectively. Dry ear was achieved when the on-table ratio of tympanomastoid cavity volume to meatal opening size was 2:1. In a mastoid cavity of 6 ml or less, among the 2 flap patients, the majority had epithelialisation completed by the first month, meatoplasty having significantly shorter duration (12.2 versus 32.3 minutes) and cosmetically better than 3 flap.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125000490_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Optimal meatoplasty is when tympanomastoid cavity volume ratio to meatal opening size is 2:1. When the on-table mastoid cavity is either 6 ml and less or is obliterated to 6 ml and less, the new SMAART 2 flap meatoplasty should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125000490","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T03:17:51Z","timestamp":1744255071000},"page":"941-949","source":"Crossref","is-referenced-by-count":0,"title":["Optimal meatoplasty in canal wall down tympanomastoidectomy: a SMAART 2 flap technique"],"prefix":"10.1017","volume":"139","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6522-9699","authenticated-orcid":false,"given":"Glynis","family":"Francis","sequence":"first","affiliation":[{"name":"Christian Medical College"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Kurien","sequence":"additional","affiliation":[{"name":"Naruvi Hospitals"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kumar","sequence":"additional","affiliation":[{"name":"PIMS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jishana","family":"J.","sequence":"additional","affiliation":[{"name":"Aster Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7599-261X","authenticated-orcid":false,"given":"Rajarajeswari","family":"Nalamate","sequence":"additional","affiliation":[{"name":"PIMS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram Raj Mohanam","family":"T.C.","sequence":"additional","affiliation":[{"name":"AVMC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshana","family":"Deve","sequence":"additional","affiliation":[{"name":"PIMS"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,4,10]]},"reference":[{"key":"S0022215125000490_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100093221"},{"key":"S0022215125000490_ref24","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2019.5731"},{"key":"S0022215125000490_ref3","first-page":"499","volume-title":"Glasscock-Shambaugh Surgery of the Ear","author":"Kveton","year":"2010"},{"key":"S0022215125000490_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(99)70139-7"},{"key":"S0022215125000490_ref10","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200107000-00007"},{"volume-title":"Manual of Middle Ear Surgery. 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