Evidence map›Paper›PMID 36043979›Full record

ArticleActa bio-medica : Atenei Parmensis2022

Comparison between overlay and underlay primary myringoplasty: retrospective analysis on anatomical and functional results in 497 adult patients

Filippo Ricciardiello, Davide Pisani, Gerardo Petruzzi, Pasquale Viola, Remo Palladino, Giulio Sequino, Aldo Falco Raucci, Giovanni Motta, Ciro Coppola, Michele Cavaliere and 5 more

Open access · greenAbstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 8 institutions in 2 countries.

Filippo RicciardielloEar Nose Throt Departement AORN Cardarelli, 80100 Napoli, Italy; . filipporicciardiello@virgilio.it.
Davide PisaniUnit of Audiology, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy; . davidepisani@gmail.com.
Gerardo PetruzziDepartment of Otolaryngology and Head and Neck Surgery, IRCCS ''Regina Elena'' National Cancer Institute, Rome, Italy. petruzzigerardo@gmail.com.
Pasquale ViolaUnit of Audiology, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy; . pasqualeviola@unicz.it.
Remo PalladinoOtolaryngology, P.O. Umberto I, Nocera Inferiore, Salerno, Italy. remo.palladino@tiscali.it.
Giulio SequinoEar Nose Throt Departement AORN Cardarelli, 80100 Napoli, Italy;. giuseq@gmail.com.
Aldo Falco RaucciEar Nose and Throat Unit, Santa Maria delle Grazie Hospital, Pozzuoli, Naples, Italy. falcoraucci@libero.it.
Giovanni MottaEar Nose Throt Departement AORN Cardarelli, 80100 Napoli, Italy;. pasqualeviol@libero.it.
Ciro Coppolahealth management AORN Cardarelli, 80100 Napoli, Italy;. ciro.coppola@aocardarelli.it.
Michele CavaliereDepartment of Neurosciences, Reproductives and Odontostomatologic Sciences, Unit Ear, Nose and Throat Section, University of Naples "Federico II", Naples, Italy. michele.cavaliere@unina.it.
Alessia AstorinaUnit of Audiology, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy; . alessiaastorina7@gmail.com.
Claudio Di NolaUnit of Otorhinolaryngology, Department of Neuroscience, Federico II University Hospital, Napoli, Italy;. claudio.dinola@yahoo.it.
Flavia OlivaEar Nose Throt Departement AORN Cardarelli, 80100 Napoli, Italy;. flaviaoliva311@gmail.com.
Alfonso ScarpaDepartment of Medicine and Surgery, University of Salerno, Salerno, Italy. alfonsoscarpa@yahoo.it.
Giuseppe ChiarellaUnit of Audiology, Department of Experimental and Clinical Medicine, Magna Graecia University, 88100 Catanzaro, Italy; . chiarella@unicz.it.
Ospedale Antonio Cardarelli · ITMagna Graecia University · ITFederico II University Hospital · ITNational Cancer Institute · MYOspedale Santa Maria · ITOspedali Riuniti Umberto I · ITUniversity of Naples Federico II · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRetro-auricular approach using an autologous graft is the main surgical method for myringoplasty (MPL). Endaural and transcanal or endoscopic approaches are also used. There is no definitive consensus on the best MPL surgical technique. The aim of this study is to compare the two most used technique, over and underlay MPL, to evaluate the difference in anatomical and functional outcomes. MATERIALS AND

methodsWe made a retrospective analysis of 497 adult patients who underwent underlay or overlay primary MPL, between 2010 and 2018, and evaluated the difference in anatomical and functional outcomes.

resultsSuccessful functional results, evaluated 18 months after surgery, were obtained in 380 patients (76,4%); the underlay MPL obtained a successful result in 85% of patients, while the overlay technique in the 68%. We observed anatomical failure in 13.4% patients, in detail 9,8% of underlay MPL and 17,2% of overlay MPL had an anatomical failure.

conclusionOur results show less complications related to the underlay technique. We believe that this remains the technique to prefer, except in subtotal or wide anterior perforations that could be better managed using the overlay technique.

Indexed as

MyringoplastyTympanic Membrane PerforationAdultHumansRetrospective StudiesTreatment Outcome

Identifiers

PMID36043979
PMCPMC9534239
OpenAlexW4293900669

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.