{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:01:34Z","timestamp":1790287294175,"version":"4.1.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Guiding project of medical scientific research of JiangSu Provincial Health Commission","award":["Z2021016"],"award-info":[{"award-number":["Z2021016"]}]},{"name":"Xuzhou key R&D plan for science and technology projects","award":["KC20135"],"award-info":[{"award-number":["KC20135"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the clinical effects of repairing tympanic membrane perforation (TMP) with the tragus perichondrium\u2013cartilage island and temporalis muscle fascia (TMF) under the otoendoscope.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The clinical data of 84 patients (total 84 ears) with TMP repaired by otoendoscopy from March 2019 to April 2021 were analyzed. The patients were randomly divided into the control group (n = 42, TMF repair) and the experimental group (n = 42, perichondrium\u2013cartilage island repair). The intraoperative blood loss, operation time, length of hospital stay, success rate of the TMP repair, mean air-conducted sound, and air\u2013bone gap before and after surgery were compared between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean air\u2013bone gap and mean air-conducted hearing threshold in the experimental group were significantly lower after surgery at all frequencies than those of the control group (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .05). The reduction of the mean air-conducted hearing threshold in the experimental group was significantly higher than that of the control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The surgery time of the experimental group was significantly shorter than the control group (78.04 \u00b1 2.23 vs. 84.27 \u00b1 1.67\u00a0minutes,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). The success rate of the TMP repair was 95.24% (40\/42) in the experimental group and 92.86% (39\/42) in the control group, indicating that there was no significant difference in the success rate of TMP repair between the two materials (risk ratio = 1.75; 95% confidence interval: .31-12.04;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .71).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Repairs with the tragus perichondrium\u2013cartilage island have a short operation time, high healing rate, and more significant postoperative hearing improvement, which makes it a more effective method of TMP repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613221130884","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T03:13:27Z","timestamp":1665544407000},"page":"493-500","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Tragus Perichondrium\u2013Cartilage Island and Temporalis Muscle Fascia for Repairing Tympanic Membrane Perforation Under the Otoendoscope: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"104","author":[{"given":"Yu-Qiang","family":"Hu","sequence":"first","affiliation":[{"name":"Xuzhou Central Hospital"},{"name":"Xuzhou Clinical School of Xuzhou Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Zhen","family":"Zou","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai","family":"Sun","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Ma","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"An","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Chen","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-Jun","family":"Cheng","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8000-5228","authenticated-orcid":false,"given":"Bing","family":"Liu","sequence":"additional","affiliation":[{"name":"Xuzhou Central Hospital"},{"name":"Xuzhou Clinical School of Xuzhou Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10071541"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2329-4"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2021.02.007"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26451"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joto.2019.02.002"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319875663"},{"issue":"71","key":"e_1_3_4_8_2","first-page":"63","article-title":"Endoscopic middle ear and mastoid surgery for cholesteatoma","volume":"25","author":"Sajjadi H","year":"2013","unstructured":"Sajjadi H. Endoscopic middle ear and mastoid surgery for cholesteatoma. Iran J Otorhinolaryngol. 2013;25(71):63-70.","journal-title":"Iran J Otorhinolaryngol"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-06670-3"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2012.10.004"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2015.1011"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000501912"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26523"},{"issue":"6","key":"e_1_3_4_14_2","first-page":"338","article-title":"Effect of Tragus Cartilage in tympanoplasty","volume":"25","author":"Liu P","year":"2018","unstructured":"Liu P, Jia Y, Zhang S, et al. Effect of Tragus Cartilage in tympanoplasty. Chinese Archives of Otolaryngology-Head and Neck Surgery. 2018;25(6):338-339.","journal-title":"Chinese Archives of Otolaryngology-Head and Neck Surgery"},{"issue":"07","key":"e_1_3_4_15_2","first-page":"364","article-title":"Clinical effect of tympanoplasty with flap dissection through the posterior wall of external auditory canal under Otoendoscope","volume":"26","author":"Li Y","year":"2019","unstructured":"Li Y, Li P, Liang Y. Clinical effect of tympanoplasty with flap dissection through the posterior wall of external auditory canal under Otoendoscope. Chinese Archives of Otolaryngology-Head and Neck Surgery. 2019;26(07):364-365.","journal-title":"Chinese Archives of Otolaryngology-Head and Neck Surgery"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2019.33.323.18060"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2020.102571"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002353"},{"issue":"6","key":"e_1_3_4_19_2","first-page":"641","article-title":"et al. Endoscopic type tympanoplasty in pediatric patients using island cartilage and perichondrium","volume":"27","author":"Ma N","year":"2021","unstructured":"Ma N, Chen M, Liu W. et al. Endoscopic type tympanoplasty in pediatric patients using island cartilage and perichondrium. Chinese Journal of Otorhinolaryngology-skull Base Surger 2021;27(6):641-645.","journal-title":"Chinese Journal of Otorhinolaryngology-skull Base Surger"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0222728"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-05947-3"},{"issue":"24","key":"e_1_3_4_22_2","first-page":"5","article-title":"The application of cartilage in middle ear surgery","volume":"32","author":"Zhao Y","year":"2018","unstructured":"Zhao Y, YuL. The application of cartilage in middle ear surgery. Journal of Clinical Otorhinolaryngology Head and Neck Surgery. 2018;32(24):5-1916.","journal-title":"Journal of Clinical Otorhinolaryngology Head and Neck Surgery"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25715"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13770-017-0039-0"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05636-w"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2018.09.003"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e31824b78ba"},{"issue":"07","key":"e_1_3_4_28_2","first-page":"386","article-title":"Effect of perichondrium-cartilage island in tympanoplasty","volume":"27","author":"Hou X","year":"2020","unstructured":"Hou X, Sun JW, Sun JQ. Effect of perichondrium-cartilage island in tympanoplasty. Chinese Archives of Otolaryngology-Head and Neck Surgery. 2020;27(07):386-389.","journal-title":"Chinese Archives of Otolaryngology-Head and Neck Surgery"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2015.12.009"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2016.12.007"},{"issue":"7","key":"e_1_3_4_31_2","first-page":"MC06","article-title":"Cartilage Myringoplasty: An Ideal Grafting Technique for Complex Perforations","volume":"11","author":"Shekharappa MK","year":"2017","unstructured":"Shekharappa MK, Siddappa SM. Cartilage Myringoplasty: An Ideal Grafting Technique for Complex Perforations. J Clin Diagn Res. 2017;11(7):MC06-MC08.","journal-title":"J Clin Diagn Res"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613221130884","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613221130884","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613221130884","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:33:05Z","timestamp":1777401185000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613221130884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,12]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/01455613221130884"],"URL":"https:\/\/doi.org\/10.1177\/01455613221130884","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,12]]}}}