{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T07:12:51Z","timestamp":1782889971287,"version":"3.54.5"},"reference-count":16,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Audiol Neurotol"],"published-print":{"date-parts":[[2012]]},"abstract":"<jats:p>&lt;i&gt;Objectives:&lt;\/i&gt; Report the immediate audiologic effect of paper patch myringoplasty to repair iatrogenic tympanic membrane perforations directly over the round window. &lt;i&gt;Methods:&lt;\/i&gt; Retrospective case-control study of 15 patients treated for inner ear disease with a MicroWick and dexamethasone for 1 month, resulting in 2-mm perforations over the round window. Paper patch myringoplasties were performed to repair the perforations. Audiograms were performed before and immediately after the paper patch myringoplasty. &lt;i&gt;Results:&lt;\/i&gt; After paper patch placement, there was a significant improvement in air-bone gap at 250 (p &lt; 0.001), 500 (p = 0.003), and 1000 Hz (p = 0.004) and a significant improvement in bone conduction (BC) threshold at 250 (p = 0.002), 500 (p &lt; 0.001), 1000 (p = 0.002), 2000 (p = 0.003), and 3000 Hz (p = 0.02). &lt;i&gt;Conclusions:&lt;\/i&gt; Paper patch myringoplasty improves both air conduction and BC hearing from small perforations over the round window. The decrease in BC hearing is a result of middle ear mechanics and is not a true sensorineural hearing loss.<\/jats:p>","DOI":"10.1159\/000333792","type":"journal-article","created":{"date-parts":[[2011,12,2]],"date-time":"2011-12-02T16:46:00Z","timestamp":1322844360000},"page":"155-160","source":"Crossref","is-referenced-by-count":4,"title":["Mixed Hearing Loss in Iatrogenic Tympanic Membrane Perforations over the Round Window Niche and the Immediate Effect of Paper Patch Myringoplasty"],"prefix":"10.1159","volume":"17","author":[{"given":"Herbert","family":"Silverstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin J.","family":"Wycherly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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