{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T20:26:36Z","timestamp":1786566396255,"version":"build-2736575974"},"reference-count":17,"publisher":"The Korean Audiological Society","issue":"4","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["ejao.org"],"crossmark-restriction":true},"short-container-title":["J Audiol Otol"],"published-print":{"date-parts":[[2021,10,10]]},"abstract":"<jats:p>Background and Objectives: The United Kingdom (UK) national standard for the closure rate for myringoplasty is 89.5% (90.6% and 84.2% for primary and revision surgeries, respectively). The average hearing gains for primary and revision myringoplasty are 9.14 dB and 7.86 dB, respectively. This study compared the myringoplasty outcomes for a single surgeon over 5 years.Subjects and Methods: Data for 68 cases were analyzed retrospectively. The outcome measures were achievement of the tympanic membrane closure and the average hearing gain or loss.Results: The overall and primary closure rates were 97% and 98%, respectively and significantly higher than the UK national standard (p=0.0210 and p=0.0287, respectively). The revision closure rate was 93%; however, it was not significantly higher than the national standard (p=0.1872). The average hearing gain was 5.18 dB. The gains for primary and revision surgeries were 5.15 dB and 5.25 dB, respectively.Conclusions: We propose that these outcomes are a result of our surgical technique, including the simultaneous use of cortical mastoidectomy in ears with discharge.<\/jats:p>","DOI":"10.7874\/jao.2021.00311","type":"journal-article","created":{"date-parts":[[2021,8,24]],"date-time":"2021-08-24T07:11:25Z","timestamp":1629789085000},"page":"224-229","update-policy":"https:\/\/doi.org\/10.7874\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Myringoplasty Outcomes From a 5-Year Single Surgeon\u2019s Experience and Important Surgical Technical Aspects"],"prefix":"10.7874","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0705-7176","authenticated-orcid":true,"given":"Dilhara","family":"Karunaratne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nick","family":"Violaris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4621","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1017\/s002221511500198x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.21037\/ajo-19-5"},{"key":"ref4","first-page":"1133","volume-title":"","author":"Hirsch"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215106000697"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2020.04.009"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.4103\/0971-7749.136844"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1017\/s0022215121000645"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-015-0846-3"},{"key":"ref10","first-page":"15","volume-title":"Overlay versus underlay tympanoplasty. Comparative study of 122 cases","author":"Gersdorff","year":"2003"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12829"},{"key":"ref12","first-page":"S640","volume-title":"Comparison of graft uptake by underlay and overlay technique in myringoplasty","author":"Khawaja","year":"2020"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1017\/s002221510011847x"},{"key":"ref14","first-page":"5","volume-title":"","author":"Tos","year":"1993"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200403000-00023"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1097\/mao.0b013e31825368f2"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-014-0733-3"}],"container-title":["Journal of Audiology and Otology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ejao.org\/upload\/pdf\/jao-2021-00311.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ejao.org\/journal\/view.php?doi=10.7874\/jao.2021.00311","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ejao.org\/upload\/pdf\/jao-2021-00311.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T04:33:16Z","timestamp":1634272396000},"score":1,"resource":{"primary":{"URL":"http:\/\/ejao.org\/journal\/view.php?doi=10.7874\/jao.2021.00311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,10]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,10]]}},"URL":"https:\/\/doi.org\/10.7874\/jao.2021.00311","relation":{},"ISSN":["2384-1621","2384-1710"],"issn-type":[{"value":"2384-1621","type":"print"},{"value":"2384-1710","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,10]]},"assertion":[{"value":"2021-05-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-25","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-10","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}