{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T16:00:56Z","timestamp":1792512056064,"version":"4.5.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T00:00:00Z","timestamp":1716595200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Myringoplasty is a common otologic procedure to restore the integrity of the tympanic membrane in cases of traumatic or pathologic perforations. Many grafting materials have been used with different techniques.<\/jats:p><jats:p>\n          Objective\u2003In the present work, we evaluate the surgical and audiological outcomes of periosteal graft overlying the mastoid cortex through a retroauricular incision in a pediatric cohort.<\/jats:p><jats:p>\n          Methods\u2003A retrospective study was carried out involving all children aged \u2264 16 years who underwent periosteal graft myringoplasty for the treatment of chronic suppurative otitis media with dry central perforation in our hospital from April 2019 to April 2021. All patients were followed up for one year to assess the anatomical success and functional outcomes by comparing the preoperative and postoperative (after six months) results of pure tone audiometry (PTA).<\/jats:p><jats:p>\n          Results\u2003The sample was composed of 36 patients; 20 of them were female (55.6%) and 16 were male (44.4%) subjects, with ages ranging from 7 to 16 (mean: 12.7) years. Four patients underwent surgery in both ears (with an interval of 6 to 9 months). Out of 40 surgeries performed, 38 ears have shown anatomical success (95%). A highly significant improvement in hearing was obtained (the mean difference between the pre- and postoperative results of the PTA was of 14.6\u2009\u00b1\u20093.45\u2009dB (p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n          Conclusion\u2003We advocate the use of periosteal graft in the pediatric population as a good alternative for other types of grafts, with comparable and even better functional and anatomical outcomes.<\/jats:p>","DOI":"10.1055\/s-0043-1776001","type":"journal-article","created":{"date-parts":[[2024,5,25]],"date-time":"2024-05-25T22:30:20Z","timestamp":1716676220000},"page":"e382-e386","source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Myringoplasty using the Periosteum: An Institutional Overview"],"prefix":"10.1055","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9125-8055","authenticated-orcid":false,"given":"Al Hussein","family":"Awad","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Faculty of Medicine, Sohag University, Sohag, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2922-1195","authenticated-orcid":false,"given":"Mahmood A.","family":"Hamed","sequence":"additional","affiliation":[{"name":"Otorhinolaryngology Department, Faculty of Medicine, Sohag University, Sohag, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,5,25]]},"reference":[{"key":"ref1","volume-title":"On the Use of an Artificial Tympanic Membrane in Causes of Deafness, Dependent Upon Perforation or Destruction of the Natural Organ","author":"J Toynbee","year":"1853"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/S0030-6665(20)32588-3","article-title":"Tympanoplasty\u2013a chronological history","volume":"10","author":"M E Glasscock III","year":"1977","journal-title":"Otolaryngol Clin North 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Ed)"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1055\/s-0037-1613716","article-title":"Periosteal Graft Myringoplasty: Our Experience","volume":"22","author":"M ElTaher","year":"2018","journal-title":"Int Arch Otorhinolaryngol"},{"issue":"35","key":"ref8","doi-asserted-by":"crossref","first-page":"2068","DOI":"10.14260\/jemds\/2016\/485","article-title":"Comparative study on usage of temporalis fascia vs. periosteum in myringoplasty","volume":"5","author":"S SP Rao","year":"2016","journal-title":"J Evol Med Dent Sci"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"103122","DOI":"10.1016\/j.amjoto.2021.103122","article-title":"Myringoplasty for pediatric chronic otitis media: An uncritical closure of a natural middle ear drainage?","volume":"42","author":"K Mantsopoulos","year":"2021","journal-title":"Am J Otolaryngol"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s00405-010-1473-y","article-title":"Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty","volume":"268","author":"I A Demirpehlivan","year":"2011","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1001\/archotol.79.3.302","article-title":"Periosteal Grafting in Tympanoplasty: A Preliminary Report","volume":"79","author":"E Chiossone","year":"1964","journal-title":"Arch Otolaryngol"},{"key":"ref12","first-page":"37","article-title":"Comparative study of tympanoplasty type I using periosteum versus tragal cartilage with perichondrium","volume":"35","author":"M M Elmoursy","year":"2021","journal-title":"Egypt J Otolaryngol"},{"issue":"05","key":"ref13","first-page":"274","article-title":"Tympanic membrane grafting, underlay periosteal versus inlay cartilage grafts: a comparative study","volume":"10","author":"A M ElBatawi","year":"2018","journal-title":"J Otolaryngol ENT Res"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1097\/MAO.0000000000001099","article-title":"Type I Tympanoplasty Meta-Analysis: A Single Variable Analysis","volume":"37","author":"H E Tan","year":"2016","journal-title":"Otol Neurotol"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"110899","DOI":"10.1016\/j.ijporl.2021.110899","article-title":"Type I tympanoplasty in pediatric age - The results of a tertiary hospital","volume":"150","author":"A I Gon\u00e7alves","year":"2021","journal-title":"Int J Pediatr Otorhinolaryngol"}],"container-title":["International Archives of 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