{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:12:22Z","timestamp":1777561942780,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:p>Objective: To evaluate the graft success rate and hearing gain of endoscopic cartilage myringoplasty with preserving external auditory canal (EAC) skin for posterior marginal perforation. Materials and Methods: We performed a prospective study in 36 patients with posterior marginal perforation who underwent endoscopic cartilage modified inlay technique with preserving EAC skin. Patients were followed up for 12 months. Results: All the 36 patients with unilateral posterior marginal perforation were included in this study. Clinical inosculation of the perichondrium graft and remnant tympanic membrane (TM) occurred at 2 to 3 weeks postoperatively. Simultaneously, neovascularization was initiated at the perichondrium graft. The perichondrium graft had been clinically incorporated to the EAC skin at 2 to 3 weeks postoperatively, which could not be distinguished. At 12 months, residual perforation was seen in inferior margin in one but reperforation was not. The graft success rate was 97.2% (35\/36). The mean preoperative air bone gap (ABG) was 29.7 \u00b1 3.8 dB, and the mean postoperative ABG at 12 months was 15.2 \u00b1 3.1 dB; the difference between these values was significant ( P &lt; .05; paired-samples t test). The successful surgery rate (postoperative ABG \u2264 20 dB) was 91.7% (33\/36). No any intratympanic or EAC cholesteatoma was noted during the follow-up period. Conclusions: Endoscopic cartilage modified inlay technique with preserving EAC skin for repairing posterior marginal perforation is simple and minimally invasive technique, which had shorter operative time, similar graft success rate compared with raising a tympanomeatal flap techniques.<\/jats:p>","DOI":"10.1177\/01455613241251552","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T08:19:25Z","timestamp":1715329165000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Endoscopic Cartilage Modified Inlay Technique With Preserving External Auditory Canal Skin for Repairing Posterior Marginal Perforation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7723-8839","authenticated-orcid":false,"given":"Chunlin","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, The First Affiliated Hospital of Ningbo University, Ningbo City, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"key":"bibr1-01455613241251552","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215120001978"},{"issue":"3","key":"bibr2-01455613241251552","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.otorri.2018.04.001","volume":"70","author":"Olarieta Soto FJ","year":"2019","journal-title":"Otorrinolaringol Esp (Engl Ed)"},{"key":"bibr3-01455613241251552","volume":"10","author":"Iynen I","year":"2021","journal-title":"Ann Ital Chir"},{"issue":"4","key":"bibr4-01455613241251552","doi-asserted-by":"crossref","first-page":"1107","DOI":"10.1002\/lio2.838","volume":"7","author":"Quancheng L","year":"2022","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"1","key":"bibr5-01455613241251552","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1002\/lary.27325","volume":"129","author":"Berglund M","year":"2019","journal-title":"Laryngoscope"},{"issue":"12","key":"bibr6-01455613241251552","doi-asserted-by":"crossref","first-page":"5945","DOI":"10.1007\/s00405-022-07547-9","volume":"279","author":"Takahashi M","year":"2022","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"1","key":"bibr7-01455613241251552","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s40463-020-00408-7","volume":"49","author":"Lou ZC","year":"2020","journal-title":"J Otolaryngol Head Neck Surg"},{"issue":"10","key":"bibr8-01455613241251552","doi-asserted-by":"crossref","first-page":"3715","DOI":"10.1007\/s00405-020-06439-0","volume":"278","author":"Cohen-Vaizer M","year":"2021","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"3","key":"bibr9-01455613241251552","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1177\/0145561319875663","volume":"100","author":"Gozeler MS","year":"2021","journal-title":"Ear Nose Throat J"},{"key":"bibr10-01455613241251552","doi-asserted-by":"crossref","first-page":"135","DOI":"10.4103\/indianjotol.INDIANJOTOL_22_19","volume":"25","author":"Shrestha BL","year":"2019","journal-title":"Indian J Otol"},{"issue":"8","key":"bibr11-01455613241251552","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1097\/MAO.0000000000003141","volume":"42","author":"Lou Z","year":"2021","journal-title":"Otol Neurotol"},{"key":"bibr12-01455613241251552","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1007\/s12070-020-02197-x","volume":"74","author":"Saraf A","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"bibr13-01455613241251552","doi-asserted-by":"publisher","DOI":"10.1017\/S002221512000198X"},{"key":"bibr14-01455613241251552","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.104202"},{"key":"bibr15-01455613241251552","doi-asserted-by":"publisher","DOI":"10.1177\/01455613231223899"},{"issue":"10","key":"bibr16-01455613241251552","doi-asserted-by":"crossref","first-page":"3715","DOI":"10.1007\/s00405-020-06439-0","volume":"278","author":"Cohen-Vaizer M","year":"2021","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"3","key":"bibr17-01455613241251552","doi-asserted-by":"crossref","DOI":"10.1097\/MAO.0000000000002147","volume":"40","author":"Bluher AE","year":"2019","journal-title":"Otol Neurotol"},{"issue":"8","key":"bibr18-01455613241251552","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1177\/0003489420915208","volume":"129","author":"Lou Z","year":"2020","journal-title":"Ann Otol Rhinol Laryngol"},{"issue":"11","key":"bibr19-01455613241251552","doi-asserted-by":"crossref","first-page":"1088","DOI":"10.1001\/jamaoto.2016.2114","volume":"142","author":"Tseng CC","year":"2016","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"issue":"11","key":"bibr20-01455613241251552","doi-asserted-by":"crossref","first-page":"2565","DOI":"10.1002\/lary.25904","volume":"126","author":"Alain H","year":"2016","journal-title":"Laryngoscope"},{"issue":"1","key":"bibr21-01455613241251552","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1111\/coa.13863","volume":"47","author":"Lou Z","year":"2022","journal-title":"Clin Otolaryngol"},{"issue":"10","key":"bibr22-01455613241251552","doi-asserted-by":"crossref","first-page":"2779","DOI":"10.1002\/lary.30523","volume":"133","author":"Lou Z","year":"2023","journal-title":"Laryngoscope"},{"key":"bibr23-01455613241251552","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1111\/j.1365-2273.1991.tb00968.x","volume":"16","author":"East CA","year":"1991","journal-title":"Clin Otolaryngol"},{"key":"bibr24-01455613241251552","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1017\/S0022215100091787","volume":"95","author":"Steinbach E","year":"1981","journal-title":"J Laryngol Otol"},{"key":"bibr25-01455613241251552","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1177\/019459988809800602","volume":"98","author":"Yamamoto E","year":"1988","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"9","key":"bibr26-01455613241251552","doi-asserted-by":"crossref","first-page":"1655","DOI":"10.1097\/01.mlg.0000175067.19744.27","volume":"115","author":"Schraff S","year":"2005","journal-title":"Laryngoscope"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241251552","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613241251552","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613241251552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:35:01Z","timestamp":1777401301000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613241251552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,10]]},"references-count":26,"alternative-id":["10.1177\/01455613241251552"],"URL":"https:\/\/doi.org\/10.1177\/01455613241251552","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,10]]},"article-number":"01455613241251552"}}