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These cases highlight the disadvantages of repeat transnasal shim operations, including enlargement of the Eustachian tube lumen, frequent dislocation, repeat surgery, recurrent middle ear infection, and shim misswallowing. The patients in these cases were successfully treated with Eustachian tube cartilage chip insertion through a postauricular approach. We describe the surgical technique and advantages of this promising management method.<\/jats:p>","DOI":"10.1177\/0145561321995009","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T15:23:31Z","timestamp":1613402611000},"page":"NP119-NP122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Salvage Eustachian Tube Cartilage Chip Insertion After Multiple Transnasal Shim Operations in Intractable Patulous Eustachian Tube"],"prefix":"10.1177","volume":"102","author":[{"given":"Wei-Ting","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."},{"name":"Institute of Clinical Medicine, National Cheng Kung University, College of Medicine, Tainan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9130-5226","authenticated-orcid":false,"given":"Heng-Jui","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,15]]},"reference":[{"key":"bibr1-0145561321995009","first-page":"2027","volume-title":"Cummings Otolaryngology - Head and Neck Surgery","author":"O\u2019Reilly RC","year":"2014","edition":"6"},{"key":"bibr2-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110500610"},{"key":"bibr3-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25168"},{"key":"bibr4-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2010.03.008"},{"issue":"3","key":"bibr5-0145561321995009","first-page":"154","volume":"22","author":"Jeong J","year":"2018","journal-title":"J Audiol Otol"},{"key":"bibr6-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24751"},{"issue":"1","key":"bibr7-0145561321995009","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1288\/00005537-198101000-00023","volume":"91","author":"Bluestone CD","year":"1981","journal-title":"The Laryngoscope"},{"key":"bibr8-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510038167"},{"key":"bibr9-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26498"},{"key":"bibr10-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2016.1231420"},{"key":"bibr11-0145561321995009","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23635"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561321995009","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0145561321995009","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0145561321995009","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:36:05Z","timestamp":1777401365000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0145561321995009"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,15]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["10.1177\/0145561321995009"],"URL":"https:\/\/doi.org\/10.1177\/0145561321995009","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,15]]}}}