{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:55:46Z","timestamp":1778813746814,"version":"3.51.4"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Tympanic retraction is a condition characterized by the displacement of the tympanic membrane toward the structures of the middle ear. Clinically, tympanic retractions can lead to hearing loss, ear discharge and\/or ear pain. In most of the cases, however, tympanic retractions are asymptomatic and are found accidentally during an ear, nose, and throat (ENT) examination. This condition has created numerous debates regarding the optimal choice of treatment, especially in the asymptomatic forms. The main controversy is regarding the relationship between retraction and the development of cholesteatoma, which would justify a surgical intervention performed for preventive purposes.<\/jats:p><jats:p>\n          Objectives\u2003To study the effectiveness of cartilage tympanoplasty in the management of tympanic membrane retractions by analyzing the results of the studies conducted on the use of cartilage as a reconstruction material.<\/jats:p><jats:p>\n          Data Synthesis\u2003A literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses group (PRISMA). Study selection, data extraction, and quality assessment were conducted independently by two reviewers. Our initial literature search yielded 2,258 references. Applying the PRISMA flow chart, 1,415 duplicates were excluded, and the remaining 843 abstracts were examined. Afterwards, 794 articles were excluded based on the research protocol criteria. Only 8 papers were included in the review by applying the inclusion and exclusion criteria.<\/jats:p><jats:p>\n          Conclusions\u2003Despite the limitations of the studies taken into consideration, we can conclude that cartilage tympanoplasty may successfully rehabilitate the atelectatic ear especially in the more advanced stages of retraction, unlike the conservative strategies.<\/jats:p>","DOI":"10.1055\/s-0042-1742349","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T06:11:26Z","timestamp":1643609486000},"page":"e499-e504","source":"Crossref","is-referenced-by-count":7,"title":["The Role of Cartilage-perichondrium Tympanoplasty in the Treatment of Tympanic Membrane Retractions: Systematic Review of the Literature"],"prefix":"10.1055","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3414-6492","authenticated-orcid":false,"given":"Angelo","family":"Immordino","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology, Department of Biomedicina, Neuroscienze e Diagnostica Avanzata, Universit\u00e0 degli Studi di Palermo, Palermo, Italia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9264-1184","authenticated-orcid":false,"given":"Federico","family":"Sireci","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Sicilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8616-4481","authenticated-orcid":false,"given":"Francesco","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Sicilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Martines","sequence":"additional","affiliation":[{"name":"Unit of Audiology, Department of Biomedicina, Neuroscienze e Diagnostica Avanzata, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Sicilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5844-9762","authenticated-orcid":false,"given":"Francesco","family":"Dispenza","sequence":"additional","affiliation":[{"name":"Unit of Otorhinolaryngology, Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone, Palermo, Sicilia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1007\/s00405-013-2644-4","article-title":"Tympanic membrane retraction pocket staging: is it worthwhile?","volume":"271","author":"M Alzahrani","year":"2014","journal-title":"Eur Arch 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Si","year":"2019","journal-title":"Laryngoscope"},{"issue":"03","key":"ref8","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1007\/s12070-018-1388-2","article-title":"Treatment of Tympanic Membrane Retraction Pockets by Excision and Cartilage Tympanoplasty: A Prospective Study","volume":"70","author":"V K Kalra","year":"2018","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"publisher","first-page":"504","DOI":"10.1007\/s12070-019-01682-2","article-title":"Endoscopic Management of Tympanic Membrane Retraction Pockets: A Two Handed Technique with Endoscope Holder","volume":"71","author":"S R Parab","year":"2019","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"issue":"09","key":"ref10","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1017\/S0022215106001708","article-title":"Surgical management of retraction pockets of the pars tensa with cartilage and perichondrial grafts","volume":"120","author":"P 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