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Tytuł:
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Myringoplasty With an Ultrathin Cartilage-Perichondrium Complex Graft Versus Temporalis Fascia Graft: A Propensity Score-Matched Analysis.
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Autorzy:
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Huang YB; Department of Otorhinolaryngology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, Xuhui District, China.
Hu LL; Department of Otolaryngology-Head and Neck Surgery, Fuyang People's Hospital, Fuyang City, Anhui Province.
Ren DD; Department of Otorhinolaryngology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, Xuhui District, China.
Han Z; Department of Otorhinolaryngology, HuaDong Hospital affiliated to Fudan University, Shanghai, China.
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Źródło:
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Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2021 Jun; Vol. 164 (6), pp. 1287-1293. Date of Electronic Publication: 2020 Oct 13.
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Typ publikacji:
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Comparative Study; Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Publication: 2023- : [Oxford] : Wiley
Original Publication: [Rochester, Minn.] : The Academy, [c1981-
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MeSH Terms:
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Fascia/*transplantation
Myringoplasty/*methods
Adult ; Cartilage/transplantation ; Cohort Studies ; Endoscopy ; Hearing Tests ; Humans ; Propensity Score ; Retrospective Studies ; Temporal Muscle ; Treatment Outcome
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Contributed Indexing:
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Keywords: cartilage-perichondrium complex (CPC); endoscope; myringoplasty; prognosis; risk factors
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Entry Date(s):
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Date Created: 20201013 Date Completed: 20210708 Latest Revision: 20210708
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Update Code:
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20240105
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DOI:
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10.1177/0194599820965940
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PMID:
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33048615
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Objective: To compare endoscopic myringoplasty using the cartilage-perichondrium complex as a graft (test group) with temporalis fascia microscopic myringoplasty (control group).
Study Design: A retrospective cohort study.
Setting: Department of Otorhinolaryngology in a tertiary Chinese hospital.
Methods: Data were collected on patients between 2017 and 2019. To balance the baseline characteristics between groups, we performed a propensity score-matched analysis, and 44 patients were included in each group. Hearing improvement and eardrum closure rates were compared, and risk factors affecting them were analyzed.
Results: In the control and test groups, 90.90% and 86.36% of patients had a mean air-bone gap ≤20 dB after the surgery, respectively ( P = .843). The air conduction (AC) threshold gain at each frequency was similar in the 2 groups ( P > .05). The closure rates were 95.45% and 93.18%, respectively ( P = .645). The air-bone gap improved significantly after surgery, F (1, 61) = 6.729, P = .012. Age, group, middle ear mucosal status, and location of the perforation did not affect the change in air-bone gap or the drum closure rate ( P > .05). However, there was an interaction between the change in air-bone gap and the size of the perforation, F (1, 61) = 11.067, P = 0001.
Conclusion: Endoscopic myringoplasty using a cartilage-perichondrium complex graft is comparable with traditional surgery. Age, location of the perforation, and middle ear mucosal status did not significantly affect the change in air-bone gap or the drum closure rate. A perforation size ≥50% was always associated with a better air-bone gap improvement.