{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T06:34:08Z","timestamp":1768890848315,"version":"3.49.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"This study was supported by the Science and Technology Agency of Yiwu city, China","award":["Grants#2018-3-76"],"award-info":[{"award-number":["Grants#2018-3-76"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p> To evaluate the graft success rate and postoperative hearing gain for marginal perforations using endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal (EAC). <\/jats:p><\/jats:sec><jats:sec><jats:title>Study design<\/jats:title><jats:p> Prospective case series. <\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p> We performed a prospective study in 41 patients with marginal perforations who underwent endoscopic cartilage myringoplasty with the removal of a small rim of EAC. Patients were followed up for 6\u2009months. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Of the 41 patients with unilateral marginal perforation included in this study, the graft success rate was 100% (41\/41). The mean ABG improved from 11.31\u2009\u00b1\u20099.71\u2009dB preoperatively to 7.31\u2009\u00b1\u20092.32\u2009dB postoperatively for small-and medium-sized perforations ( P\u2009=\u20090.13); the mean ABG improved from 21.46\u2009\u00b1\u20098.39\u2009dB preoperatively to 9.84\u2009\u00b1\u20092.41\u2009dB postoperatively for large perforations ( P\u2009&lt;\u20090.05); the mean ABG improved from 28.79\u2009\u00b1\u20096.74\u2009dB preoperatively to 10.13\u2009\u00b1\u20093.56\u2009dB postoperatively for subtotal and total perforations ( P\u2009&lt;\u20090.05). There were no cases of graft lateralization or significant blunting or atelectasis or graft adhesions. Three patients developed postoperative otorrhoea and five patients had mild myringitis. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Endoscopic cartilage myringoplasty with the removal of a small rim of the EAC is simple and feasible, showing a high graft success rate and minimal complications for repairing marginal perforations. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-020-00408-7","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T22:02:28Z","timestamp":1583532148000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Endoscopic cartilage myringoplasty with the removal of a small rim of the external auditory canal to repair marginal perforations"],"prefix":"10.1177","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1085-9033","authenticated-orcid":false,"given":"Zheng-cai","family":"Lou","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Yiwu central Hospital, 699 jiangdong road, 322000, Yiwu city, Zhejiang provice, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,1,1]]},"reference":[{"key":"bibr1-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510011847X"},{"key":"bibr2-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(10)80117-4"},{"key":"bibr3-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198902000-00015"},{"key":"bibr4-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200205000-00007"},{"key":"bibr5-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.10.018"},{"key":"bibr6-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002147"},{"key":"bibr7-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23747"},{"key":"bibr8-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-019-0335-x"},{"key":"bibr9-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000503"},{"key":"bibr10-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2014.02.007"},{"key":"bibr11-s40463-020-00408-7","first-page":"927","volume":"32","author":"Niazi SA","year":"2016","journal-title":"Pak J Med Sci"},{"key":"bibr12-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2016.12.007"},{"key":"bibr13-s40463-020-00408-7","first-page":"30083","volume":"19","author":"\u00d6zdamar K","year":"2019","journal-title":"Braz J Otorhinolaryngol"},{"key":"bibr14-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05495-5"},{"key":"bibr15-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1080\/00016489.2017.1354393"},{"key":"bibr16-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25904"},{"key":"bibr17-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2005.02.016"},{"key":"bibr18-s40463-020-00408-7","first-page":"374","volume-title":"Diseases of the ear","author":"Youngs R","year":"1997","edition":"6"},{"key":"bibr19-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.2114"},{"key":"bibr20-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.anorl.2019.05.001"},{"key":"bibr21-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.21053\/ceo.2016.00080"},{"key":"bibr22-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000231742.11048.ed"},{"key":"bibr23-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1991.tb00968.x"},{"key":"bibr24-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100091787"},{"key":"bibr25-s40463-020-00408-7","first-page":"5","volume":"244","author":"Sal\u00e9n B","year":"1968","journal-title":"Acta Otolaryngol"},{"key":"bibr26-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1177\/019459988809800602"},{"key":"bibr27-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200311000-00002"},{"key":"bibr28-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200012000-00002"},{"key":"bibr29-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200108000-00027"},{"key":"bibr30-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.10.023"},{"key":"bibr31-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770294-8"},{"key":"bibr32-s40463-020-00408-7","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215113000595"}],"container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-020-00408-7","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40463-020-00408-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1186\/s40463-020-00408-7","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40463-020-00408-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1186\/s40463-020-00408-7","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T22:04:44Z","timestamp":1741644284000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1186\/s40463-020-00408-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":32,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1186\/s40463-020-00408-7"],"URL":"https:\/\/doi.org\/10.1186\/s40463-020-00408-7","relation":{},"ISSN":["1916-0216","1916-0216"],"issn-type":[{"value":"1916-0216","type":"print"},{"value":"1916-0216","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"article-number":"13"}}