{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:21Z","timestamp":1777877541894,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Graft outcomes and complications were compared in patients who received a cartilage\u2013perichondrium composite graft via perichondrium reinforcement (CPPR) and those treated using only a cartilage\u2013perichondrium composite graft underlay (CPGU) technique, including raising a tympanomeatal flap, in the repair of a subtotal perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Patients with subtotal perforations were semi-randomly allocated to the CPPR and CPGU groups. The graft success rate, hearing outcomes, operation times, postoperative visual analog scale (VAS) values, and complications were compared for up to 6\u2009months postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The sample consisted of 67 ears from 67 patients. The mean operation time was 33.1\u2009\u00b1\u20092.8\u2009min in the CPPR group and 56.2\u2009\u00b1\u20091.8\u2009min in the CPGU group. At 6\u2009months postoperatively, the VAS scores were 1.4\u2009\u00b1\u20090.9 and 3.7\u2009\u00b1\u20091.2, and the graft success rates were 97.0% and 88.2% (P\u2009=\u2009.371), respectively. There were no significant differences in the mean gain in the air\u2013bone gap (16.2\u2009\u00b1\u20095.3 vs. 14.7\u2009\u00b1\u20096.2) between the two groups, but hearing improvement was greater in the CPPR group. Ear fullness was reported by 21.2% patients in the CPPR group and 91.2% of patients in the CPGU group. Temporary hypogeusia developed in 3.0% of patients in the CPPR group and 38.2% of those in the CPGU group. Myringitis was seen in 9.1% patients in the CPPR group and 2.9% in the CPGU group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients undergoing subtotal perforation repair, the 6-month graft outcome in patients treated with the perichondrium reinforcement technique without raising a tympanomeatal flap and external ear canal packing was similar to that of patients who underwent a flap-raising technique. The advantages of the perichondrium reinforcement technique are that it is simple, time-saving, and minimally invasive, with less ear fullness and better hearing recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216251407933","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T06:32:16Z","timestamp":1768804336000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Perichondrium Reinforcement and the Use of a Cartilage\u2013Perichondrium Composite Graft Alone in the Repair of Subtotal Perforation: A Semi-Random Study"],"prefix":"10.1177","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3398-737X","authenticated-orcid":false,"given":"Hong","family":"Pan","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology Head &amp; Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoude","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head &amp; Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30523"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00454257"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00408-7"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-020-00440-7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-023-00674-1"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002649"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2022.2042596"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.33314\/jnhrc.v16i3.1143"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-020-06222-1"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-022-00597-3"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/0145561320946908"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-023-08039-0"},{"issue":"97","key":"e_1_3_3_14_2","first-page":"103","article-title":"Results of type I tympanoplasty using fascia with or without cartilage reinforcement: 10 years\u2019 experience","volume":"30","author":"Kouhi A","year":"2018","unstructured":"Kouhi A, Ashthiani MT, Jalali MM. 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