{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:33:52Z","timestamp":1777563232959,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012553","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG8G0242"],"award-info":[{"award-number":["CMRPG8G0242"]}],"id":[{"id":"10.13039\/100012553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We compared the functional outcomes of fat myringoplasty and areolar tympanoplasty through a small postauricular incision in patients who underwent transcanal endoscopic ear surgery (TEES).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The study included patients who underwent myringoplasty or type I tympanoplasty using TEES in our Department of Otolaryngology between April 2016 and May 2019. The patients were divided into 2 groups according to the type of graft material used, which was selected based on the available amount of subcutaneous fat and the surgeon\u2019s experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In total, 63 patients received fat tissue grafts (group A) and 77 received areolar tissue grafts (group B). The median operative time was significantly longer in group B (132 minutes) than in group A (65 minutes); perforations were significantly larger in group B than in group A (61.0% vs 29.7% of the eardrum surface). The postoperative air conduction threshold, air\u2013bone gap, and speech reception threshold values were significantly lower than the preoperative values in both groups. The graft success rate did not significantly differ between groups A (96.8%, 61\/63) and B (96.1%, 74\/77). In group A, the perforation was &gt; 35% of the eardrum surface in 27.0% (17\/63) of the patients; the graft success rate was 100% (17\/17). In the remaining 46 patients (perforation &gt; 35%), the graft success rate was 95.7% (44\/46); this difference was not statistically significant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Transcanal endoscopic ear surgery increases the usefulness of fat myringoplasty for the repair of perforations &gt; 35% of the eardrum surface. Postauricular fatty and areolar tissues are suitable for this simple and rapid technique, which yields excellent outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0145561320947261","type":"journal-article","created":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T15:26:10Z","timestamp":1599492370000},"page":"314-318","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of the Functional Success of Fat Myringoplasty and Perifascial Areolar Tympanoplasty in Transcanal Endoscopic Ear Surgery"],"prefix":"10.1177","volume":"101","author":[{"given":"Chien-An","family":"Ko","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Hui","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Nung","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pingche","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Speech Language Pathology and Audiology, Chung Shan Medical University, Taichung"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4126-5737","authenticated-orcid":false,"given":"Chung-Feng","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"bibr1-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-195608000-00008"},{"key":"bibr2-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215110002069"},{"key":"bibr3-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319900388"},{"key":"bibr4-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2008.01823.x"},{"key":"bibr5-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27599"},{"issue":"5","key":"bibr6-0145561320947261","first-page":"544","volume":"18","author":"Tarabichi M","year":"1997","journal-title":"Am J Otol"},{"key":"bibr7-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215118000695"},{"key":"bibr8-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13197"},{"key":"bibr9-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-196202000-00005"},{"key":"bibr10-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12976"},{"key":"bibr11-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318278c1e3"},{"key":"bibr12-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197806000-00010"},{"key":"bibr13-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-197111000-00007"},{"key":"bibr14-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2003.10.004"},{"key":"bibr15-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1111\/coa.13232"},{"key":"bibr16-0145561320947261","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2014.07.011"}],"container-title":["Ear, Nose &amp; 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