{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T17:12:43Z","timestamp":1789578763070,"version":"build-2803163510"},"reference-count":17,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2022,4,20]],"date-time":"2022-04-20T00:00:00Z","timestamp":1650412800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"The National Research Foundation of Korea","doi-asserted-by":"crossref","award":["2020R1F1A107220911"],"award-info":[{"award-number":["2020R1F1A107220911"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2025,2]]},"abstract":"\n Objective<\/jats:title>\n To propose a modified technique of ossiculoplasty using an ossicle-cartilage composite graft (OCCG) and compare its hearing outcome and protrusion rate with those of a synthetic prosthesis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Autologous tragal or homologous septal cartilage was combined with an ossicle to create an umbrella shape OCCG. A total of 302 ossiculoplasty surgeries performed in a single university hospital between 1997 and 2006 were retrospectively reviewed based on the prosthesis type\u2014OCCG or polymaleinate ionomeric prosthesis (IONOS\n \u00ae<\/jats:sup>\n ). Data includes demographic profiles, audiometric outcomes, intraoperative findings, and post-operative complications and was categorized by the follow-up periods.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Ossicle-cartilage composite graft was used for 175 patients and IONOS\n \u00ae<\/jats:sup>\n for 127 patients. The mean post-operative air-bone gap (ABG) of the OCCG group was 22.36\u00a0dB, which was better than the IONOS\n \u00ae<\/jats:sup>\n group of 25.08\u00a0dB ( P = .015). The successful ABG closure rate of less than 20\u00a0dB was also higher in the OCCG group compared to the IONOS\n \u00ae<\/jats:sup>\n group (38.3% vs 26.8%, P = .036). The ABG between the pre- and post-operative conditions exhibited a significant difference between the 2 groups ( P = .006). In the data divided into 3 groups according to the follow-up period, the OCCG group showed a better outcome in the long-term follow-up with 0 cases of protrusion during the follow-up period in the OCCG group compared to 8 cases of the IONOS\n \u00ae<\/jats:sup>\n group ( P = .018).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Ossiculoplasty with OCCG exhibited satisfactory audiometric outcomes and low complication rates. Ossicle-cartilage composite graft can be a good option with sufficient informed consent and preliminary screening of transmitted diseases.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/01455613221088727","type":"journal-article","created":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T01:43:51Z","timestamp":1650505431000},"page":"NP85-NP91","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Surgical Outcomes Between Ossicle-Cartilage Composite Graft and Synthetic Ossicular Prosthesis for Ossicular Reconstruction"],"prefix":"10.1177","volume":"104","author":[{"given":"Kyung min","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun Myung","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jee-Nam","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun bum","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8443-8581","authenticated-orcid":false,"given":"Jae-Hyun","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,4,20]]},"reference":[{"key":"bibr1-01455613221088727","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30642-3"},{"key":"bibr2-01455613221088727","first-page":"26","volume":"45","author":"KIM HJ","year":"2002","journal-title":"Korean J Otolaryngol"},{"key":"bibr3-01455613221088727","first-page":"1145","volume":"44","author":"SY C","year":"2001","journal-title":"Korean J 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