{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:42:34Z","timestamp":1787071354656,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","license":[{"start":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:00:00Z","timestamp":1763596800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,2]]},"abstract":"\n Background:<\/jats:title>\n Tympanoplasty is a standard surgical intervention for chronic otitis media (COM) with tympanic membrane perforation. Among various grafting materials, temporalis fascia and conchal cartilage are widely used. This research compares the anatomical and functional outcomes of underlay tympanoplasty using these two grafts.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To evaluate and compare the graft uptake rate and hearing outcomes of conchal cartilage versus temporalis fascia grafts in type I tympanoplasty using the underlay technique.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n \n A prospective comparative research was conducted on 60 subjects diagnosed with COM. Subjects were randomly allocated into two groups: batch TC (\n n<\/jats:italic>\n = 30) underwent tympanoplasty using conchal cartilage, and batch TT (\n n<\/jats:italic>\n = 30) underwent tympanoplasty using temporalis fascia. Graft uptake and hearing improvement were assessed postoperatively using pure tone audiometry at three months.\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Graft uptake was higher in the cartilage group (93.3%) than in the fascia group (83.3%), with statistical significance (\n P<\/jats:italic>\n = 0.041). Hearing improvement and air-bone gap closure were comparable in both groups, with no significant difference (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Conchal cartilage provides superior anatomical outcomes with comparable hearing results to temporalis fascia, making it a reliable graft choice in underlay tympanoplasty.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_852_25","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T18:01:38Z","timestamp":1763661698000},"page":"S120-S122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Study between Chonchal Cartilage Tympanoplasty and Temporalis Facia Tympanoplasty by Underlay Technique"],"prefix":"10.4103","volume":"18","author":[{"given":"Nasreen","family":"Begum","sequence":"first","affiliation":[{"name":"District Hospital, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"key":"R1-20260310","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1017\/S0022215108001813","article-title":"Cartilage tympanoplasty: Literature review","volume":"122","author":"Yung","year":"2008","journal-title":"J Laryngol Otol"},{"key":"R2-20260310","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1016\/S0196-0709(00)80039-3","article-title":"Experimental investigations of the use of cartilage in tympanic membrane reconstruction","volume":"21","author":"Zahnert","year":"2000","journal-title":"Am J Otol"},{"key":"R3-20260310","doi-asserted-by":"crossref","first-page":"1769","DOI":"10.1097\/00005537-200210000-00012","article-title":"Acoustic properties of different cartilage reconstruction techniques of the tympanic membrane","volume":"112","author":"M\u00fcrbe","year":"2002","journal-title":"Laryngoscope"},{"key":"R4-20260310","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1097\/MAO.0b013e318254fbc2","article-title":"Is cartilage tympanoplasty more effective than fascia tympanoplasty? A systematic review","volume":"33","author":"Mohamad","year":"2012","journal-title":"Otol Neurotol"},{"key":"R5-20260310","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1007\/s00405-010-1473-y","article-title":"Comparison of different tympanic membrane reconstruction techniques in type I tympanoplasty","volume":"268","author":"Demirpehlivan","year":"2011","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"R6-20260310","doi-asserted-by":"crossref","first-page":"936","DOI":"10.1097\/MAO.0b013e3181e71479","article-title":"Long-term results of palisade cartilage tympanoplasty","volume":"31","author":"Neumann","year":"2010","journal-title":"Otol Neurotol"},{"key":"R7-20260310","doi-asserted-by":"crossref","first-page":"1844","DOI":"10.1097\/00005537-200311000-00002","article-title":"Cartilage tympanoplasty: Indications, techniques, and outcomes in a 1,000-patient series","volume":"113","author":"Dornhoffer","year":"2003","journal-title":"Laryngoscope"}],"container-title":["Journal of Pharmacy and Bioallied Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_852_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:49Z","timestamp":1787067889000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jpbs.jpbs_852_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,20]]},"references-count":7,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jpbs.jpbs_852_25","relation":{},"ISSN":["0976-4879","0975-7406"],"issn-type":[{"value":"0976-4879","type":"print"},{"value":"0975-7406","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,20]]},"assertion":[{"value":"2025-04-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-25","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}