{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T10:02:57Z","timestamp":1785232977097,"version":"3.55.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n Objective:<\/jats:title>\n \n To compare the intraoperative and postoperative outcomes of using oxidized regenerated cellulose (Surgicel\n \u00ae<\/jats:sup>\n ) versus absorbable gelatin sponge (Spongostan\n \u00ae<\/jats:sup>\n ) for supporting graft material in endoscopic tympanoplasty.\n <\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n We retrospectively analyzed 92 patients who underwent endoscopic type 1 tympanoplasty between 2020 and 2024. Patients were divided into 2 groups based on the supporting graft material used: 47 received Surgicel\n \u00ae<\/jats:sup>\n and 45 received Spongostan\n \u00ae<\/jats:sup>\n . Primary outcome measures included intraoperative hemostasis quality, duration of graft placement, postoperative graft success, graft lateralization, and hearing outcomes at 6 and 12\u2009months.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Hemostasis during graft placement was better in the Surgicel\n \u00ae<\/jats:sup>\n group (\n P<\/jats:italic>\n \u2009=\u2009.017), and shorter graft placement duration was observed (\n P<\/jats:italic>\n \u2009=\u2009.047). At\u2009\u2265\u20096\u2009months, graft success rates were comparable between the groups (89.4% for Surgicel\n \u00ae<\/jats:sup>\n vs 82.2% for Spongostan\n \u00ae<\/jats:sup>\n ;\n P<\/jats:italic>\n \u2009=\u2009.380). However, graft lateralization was significantly less frequent in the Surgicel\n \u00ae<\/jats:sup>\n group (2.1%) compared to the Spongostan\n \u00ae<\/jats:sup>\n group (15.6%;\n P<\/jats:italic>\n \u2009=\u2009.029). While the Spongostan\n \u00ae<\/jats:sup>\n group showed significantly better hearing results at 6\u2009months (mean ABG 16.9\u2009dB vs 28.6\u2009dB;\n P<\/jats:italic>\n \u2009<\u2009.001), hearing outcomes were similar by 12\u2009months.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n \n Both Spongostan\n \u00ae<\/jats:sup>\n and Surgicel\n \u00ae<\/jats:sup>\n are effective supporting graft materials in endoscopic tympanoplasty. However, Surgicel\n \u00ae<\/jats:sup>\n was associated with certain intraoperative advantages, including superior hemostasis and shorter operative time, along with a significantly lower risk of postoperative graft lateralization. These benefits suggest Surgicel\n \u00ae<\/jats:sup>\n may be a preferable option for enhancing surgical efficiency and optimizing outcomes in endoscopic ear surgery.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/00034894261437476","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:38:31Z","timestamp":1777711111000},"page":"686-691","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative and Postoperative Advantages of two Absorbable Materials for Supporting Graft in Endoscopic Tympanoplasty: Oxidized Regenerated Cellulose (Surgicel\n \u00ae<\/sup>\n ) Over Gelatin Sponge (Spongostan\n \u00ae<\/sup>\n )"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9616-7168","authenticated-orcid":false,"given":"Erkan","family":"Karatas","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, Atlas University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3026-8473","authenticated-orcid":false,"given":"Mustafa","family":"Ibas","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, Atlas University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Nuri","family":"Elgormus","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Otorhinolaryngology, Atlas University, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(86)80004-7"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102767"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2009.11.009"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199608000-00026"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003827"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mao.0000227893.50162.9e"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.07.009"},{"key":"e_1_3_3_9_2","first-page":"389","volume-title":"Cohen\u2019s Pathways of the Pulp","author":"Johnson BR","unstructured":"Johnson BR, Witherspoon DE. Surgicel. In: Hargreaves KM, Cohen S, eds. Cohen\u2019s Pathways of the Pulp. 10th ed. Mosby Elsevier; 2011:389-390.","edition":"10"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-020-02057-8"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06426-5"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28914"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121002012"}],"container-title":["Annals of Otology, Rhinology & Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894261437476","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894261437476","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894261437476","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:52:07Z","timestamp":1785232327000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894261437476"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,2]]},"references-count":12,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/00034894261437476"],"URL":"https:\/\/doi.org\/10.1177\/00034894261437476","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,2]]}}}