{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:13:02Z","timestamp":1768263182847,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T00:00:00Z","timestamp":1533600000000},"content-version":"vor","delay-in-days":7068,"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":[[1999,4]]},"abstract":"<jats:p>Surgical management of otitis media with effusion and recurrent acute otitis media includes myringotomy and the use of ventilation tubes. Since this procedure was reintroduced by Armstrong in 1954, it has become one of the most commonly performed operations in otolaryngology. In most series perforation of the tympanic membrane in some patients has been reported after spontaneous extrusion or removal of the tympanostomy tubes. We present a retrospective review designed to examine the incidence of persisting perforations of the tympanic membrane in our series of 2604 operated ears. The study also identifies and analyzes the variables and the contributing risk factors. Perforations occurred in 3.06% of the ears: with a greater incidence in children younger than 5 years, when the indication was recurrent purulent otitis media, with the use of long\u2010term Goode T tubes, in cases with repeated insertions of ventilation tubes, and in cases in which postoperative otorrhea was frequent.<\/jats:p>","DOI":"10.1177\/019459989912000401","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T04:39:19Z","timestamp":1532493559000},"page":"524-527","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Ventilation Tubes and Persisting Tympanic Membrane Perforations"],"prefix":"10.1002","volume":"120","author":[{"given":"Avishay","family":"Golz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center and Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviram","family":"Netzer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center and Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry Z.","family":"Joachims","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Rambam Medical Center and Faculty of Medicine Technion\u2010Israel Institute of Technology Haifa Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S. Thomas","family":"Westerman","sequence":"additional","affiliation":[{"name":"Westerman Research Associates, Inc. Shrewsbury New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liane M.","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Westerman Research Associates, Inc. Shrewsbury New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,8,7]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1954.00710050665001"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199101000-00002"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870200089015"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00413.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1980.00790260029009"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1974.00780040157015"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/00034894941030S508"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(96)01347-X"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/00034894760850S249"},{"key":"e_1_2_5_11_2","first-page":"48","article-title":"Tympanic membrane perforation following ventilation tube removal in a pediatric setting: a historical study","volume":"22","author":"Solomon P.R.","year":"1993","journal-title":"J Otolaryngol"},{"key":"e_1_2_5_12_2","first-page":"362","article-title":"Gelfoam\/Gelfilm patching following the removal of ventilation tubes","volume":"24","author":"Hekkenberg R.J.","year":"1995","journal-title":"J Otolaryngol"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1987.tb00220.x"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(91)90053-E"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00417.x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198903000-00003"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989670002-5"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100121462"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(92)90020-P"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988509300306"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100129925"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198211000-00013"},{"key":"e_1_2_5_23_2","first-page":"495","article-title":"Ventilation tube removal: indication for paper patch myringoplasty","volume":"118","author":"Pribitkin E.A.","year":"1992","journal-title":"Otolaryngol Head and Neck Surg"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-5876(93)90044-4"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459988008800511"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199203000-00018"},{"key":"e_1_2_5_27_2","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198106000-00003"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989912000401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/019459989912000401","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/019459989912000401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T13:56:24Z","timestamp":1760968584000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/019459989912000401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,4]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1999,4]]}},"alternative-id":["10.1177\/019459989912000401"],"URL":"https:\/\/doi.org\/10.1177\/019459989912000401","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,4]]},"assertion":[{"value":"2018-08-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}