{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T20:20:54Z","timestamp":1778617254807,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T00:00:00Z","timestamp":1602547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare endoscopic myringoplasty using the cartilage\u2010perichondrium complex as a graft (test group) with temporalis fascia microscopic myringoplasty (control group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Department of Otorhinolaryngology in a tertiary Chinese hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were collected on patients between 2017 and 2019. To balance the baseline characteristics between groups, we performed a propensity score\u2013matched analysis, and 44 patients were included in each group. Hearing improvement and eardrum closure rates were compared, and risk factors affecting them were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the control and test groups, 90.90% and 86.36% of patients had a mean air\u2010bone gap \u226420\u00a0dB after the surgery, respectively (<jats:italic>P<\/jats:italic> =. 843). The air conduction (AC) threshold gain at each frequency was similar in the 2\u00a0groups (<jats:italic>P<\/jats:italic> &gt;. 05). The closure rates were 95.45% and 93.18%, respectively (<jats:italic>P<\/jats:italic> =. 645). The air\u2010bone gap improved significantly after surgery, <jats:italic>F<\/jats:italic>(1, 61) = 6.729, <jats:italic>P<\/jats:italic> =. 012. Age, group, middle ear mucosal status, and location of the perforation did not affect the change in air\u2010bone gap or the drum closure rate (<jats:italic>P<\/jats:italic> &gt;. 05). However, there was an interaction between the change in air\u2010bone gap and the size of the perforation, <jats:italic>F<\/jats:italic>(1, 61) = 11.067, <jats:italic>P<\/jats:italic> = 0001.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Endoscopic myringoplasty using a cartilage\u2010perichondrium complex graft is comparable with traditional surgery. Age, location of the perforation, and middle ear mucosal status did not significantly affect the change in air\u2010bone gap or the drum closure rate. A perforation size \u226550% was always associated with a better air\u2010bone gap improvement.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599820965940","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T12:36:59Z","timestamp":1602592619000},"page":"1287-1293","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Myringoplasty With an Ultrathin Cartilage\u2010Perichondrium Complex Graft Versus Temporalis Fascia Graft: A Propensity Score\u2013Matched Analysis"],"prefix":"10.1002","volume":"164","author":[{"given":"Yi\u2010Bo","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Eye, Earm Nose and Throat Hospital Fudan University Shanghai Xuhui District China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u2010lu","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck 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