Evidence map›Paper›PMID 42782402›Full record

SynthesisCell and tissue banking2026

Utilization of human amniotic membrane (HAM) in tympanoplasty: a systematic review and meta-analysis.

Chamod Danosha Perera, Jharna Chhetri Chuwan, Kasun Lakmal, Dineshani Hettiarachchi

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Cell and tissue banking, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Chamod Danosha PereraFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0009-0002-5831-0653
Jharna Chhetri ChuwanFaculty of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0009-0001-4442-5807
Kasun LakmalPostgraduate Institute of Medicine, University of Colombo, Colombo, Sri Lanka.ORCID http://orcid.org/0000-0003-1265-0425
Dineshani HettiarachchiDepartment of Anatomy Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, 25, Kynsey Place, Colombo 8, Colombo, Sri Lanka. dineshani@anat.cmb.ac.lk.ORCID http://orcid.org/0000-0002-1732-7339

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tympanic membrane perforation is a common otologic disorder. In cases where spontaneous closure does not occur, or when the perforation is associated with clinically significant symptoms that adversely affect quality of life, surgical repair is often indicated. This review and meta-analysis aimed to synthesize and critically appraise the current evidence on the use of human amniotic membrane (HAM) as a graft material in tympanoplasty. A systematic literature search was conducted in multiple databases for studies published up to November 2025. The following search terms were used in titles and abstracts (with corresponding MeSH terms applied in PubMed): "Amnion" OR "Placenta" AND "Tympanoplasty." Single-arm meta-analysis using a random effects model was performed to assess improvement in the air-bone gap (ABG) and anatomical closure rates. Standardized methodological criteria were applied to assess study quality and risk of bias. Out of 630 identified records, eight studies evaluating 265 tympanoplasties (264 patients) using amniotic membrane grafting (AMG) were included. The majority of non-randomized studies carried a serious risk of bias. A single-arm meta-analysis of 4 studies demonstrated a pooled complete anatomical closure rate of 92% (95% CI 0.79-0.98; I

Indexed as

AmnionTympanic Membrane PerforationTympanoplastyHumansBiological GraftHuman amniotic membraneTissue HarvestingTympanoplasty

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

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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.