{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T15:20:24Z","timestamp":1777562424679,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T00:00:00Z","timestamp":1741737600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Technology Agency of Zhangjiakou City, Hebei Province, China","award":["2221164D"],"award-info":[{"award-number":["2221164D"]}]},{"name":"Technology Agency of Zhangjiakou City, Hebei Province, China","award":["1821053D"],"award-info":[{"award-number":["1821053D"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    We compared the long-term efficacy and incidence of myringitis after cartilage graft underlay myringoplasty for chronic tympanic membrane (TM) perforations with and without external ear canal (EAC) packing.\n                    <jats:bold>Methods<\/jats:bold>\n                    : In total, 129 patients who met the inclusion criteria were allocated to either the EAC packing (packing) group or the no-EAC packing (no-packing) group. All patients underwent endoscopic cartilage graft underlay myringoplasty. Graft success, hearing improvement, and the incidence of myringitis were assessed at 12 months postoperatively.\n                    <jats:bold>Results:<\/jats:bold>\n                    All patients completed the 12 month follow-up period. At 3 months postoperatively, overall graft success rates were 100.0% and 98.4% in the packing and no-packing groups, respectively. At 12 months postoperatively, graft success rates were 96.9% and 93.8% in the packing and no-packing groups, respectively. Both groups demonstrated significant improvements in hearing between preoperative and 6 month postoperative assessments. The mean air-bone gap (ABG) improved by 14.17 \u00b1 3.29 decibels (dB) in the packing group and 13.85 \u00b1 5.46 dB in the no-packing group. At 6th month postoperatively, no significant differences in ABGs were observed between the groups. The incidence of myringitis was significantly higher in the no-packing group than in the packing group. However, the packing group exhibited a significantly-higher incidence of self-reported ear fullness and discomfort than the no-packing group.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Although the graft success rate and hearing improvement after cartilage graft underlay myringoplasty with no EAC packing were comparable to those with packing, the no-packing approach was associated with a higher incidence of myringitis. Therefore, we recommend EAC packing after cartilage myringoplasty.\n                  <\/jats:p>","DOI":"10.1177\/01455613251321604","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T12:06:03Z","timestamp":1741781163000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Myringitis Incidence in Cartilage Myringoplasty With and Without External Ear Canal Packing For the Repair of Chronic Tympanic Membrane Perforations"],"prefix":"10.1177","author":[{"given":"Dong","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongqing","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunchao","family":"Xin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongyan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lixin","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuying","family":"Yang","sequence":"additional","affiliation":[{"name":"Stroke Center Office, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yantao","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2118-9282","authenticated-orcid":false,"given":"Yachao","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngol Head &amp; Neck Surgery, The First Affiliated Hospital of Hebei North University, Zhangjiakou City, Hebei Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,12]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.554"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.5152\/iao.2022.21348"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.381"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ohn.191"},{"issue":"127","key":"e_1_3_2_6_2","first-page":"77","article-title":"Endoscopic push-through cartilage myringoplasty for anterior perforations","volume":"35","author":"Aggarwal A","year":"2023","unstructured":"Aggarwal A, Bhagat S, Sahni D, Sharma DK, Yadav V. Endoscopic push-through cartilage myringoplasty for anterior perforations. 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