Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure
Introduction Tympanoplasty is the treatment of choice for patients suffering with Chronic Otitis Media (COM). Outcome of tympanoplasty depends on various factors like size and location of tympanic membrane perforation, ear ossicles, degree of otorrhea, cholesteatoma, smoking history, granulation...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2022-03-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/558 |
| _version_ | 1797226547318358016 |
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| author | Pradeep Gundu Buddhavarapu Kiranmayee Dipin Kumar V Phani Bhushan Ivaturi |
| author_facet | Pradeep Gundu Buddhavarapu Kiranmayee Dipin Kumar V Phani Bhushan Ivaturi |
| author_sort | Pradeep Gundu |
| collection | DOAJ |
| description |
Introduction
Tympanoplasty is the treatment of choice for patients suffering with Chronic Otitis Media (COM). Outcome of tympanoplasty depends on various factors like size and location of tympanic membrane perforation, ear ossicles, degree of otorrhea, cholesteatoma, smoking history, granulation tissue etc. Prediction of outcome of tympanoplasty procedure prior to surgery with respect to graft uptake and hearing improvement can serve as a crucial factor in decision making in resource limited nations. Hence, a study was conducted to evaluate the role of Middle Ear Risk Indices (MERI) in predicting the outcome among patients undergoing tympanoplasty procedure.
Materials and Methods
A prospective study at a tertiary care centre was conducted for a duration of 2 years among 60 patients with COM who underwent tympanoplasty.
Results
The mean age of patients was 25.32 ± 8.43 years with a male to female ratio of 3:2. Majority (78.46%) of the patients had Mild MERI score; 18.46% patients had moderate MERI score and 3.08% patients had severe MERI risk score. The difference in mean Air –Bone (AB) gap in the mild and moderate MERI groups’ pre and post operatively was found to be statistically highly significant (p<0.001).
Conclusion
Lower MERI scores prior to surgery showed significantly better outcomes with respect to graft uptake, degree of AB gap closure and hearing improvement.
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| first_indexed | 2024-03-09T04:14:58Z |
| format | Article |
| id | doaj.art-49977dbe9df1453c9852b0846185ed7d |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-04-24T14:26:38Z |
| publishDate | 2022-03-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-49977dbe9df1453c9852b0846185ed7d2024-04-03T04:33:27ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072022-03-01293Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty ProcedurePradeep Gundu0Buddhavarapu Kiranmayee1Dipin Kumar V2Phani Bhushan Ivaturi3Mahavir Institute Of Medical Sciences , Vikarabad , TelanganaMamata Medical College , Khammam , Telangana Tirumala Hospital , Khammam , TelanganaGovernment Medical College , Nalgonda , Telangana Introduction Tympanoplasty is the treatment of choice for patients suffering with Chronic Otitis Media (COM). Outcome of tympanoplasty depends on various factors like size and location of tympanic membrane perforation, ear ossicles, degree of otorrhea, cholesteatoma, smoking history, granulation tissue etc. Prediction of outcome of tympanoplasty procedure prior to surgery with respect to graft uptake and hearing improvement can serve as a crucial factor in decision making in resource limited nations. Hence, a study was conducted to evaluate the role of Middle Ear Risk Indices (MERI) in predicting the outcome among patients undergoing tympanoplasty procedure. Materials and Methods A prospective study at a tertiary care centre was conducted for a duration of 2 years among 60 patients with COM who underwent tympanoplasty. Results The mean age of patients was 25.32 ± 8.43 years with a male to female ratio of 3:2. Majority (78.46%) of the patients had Mild MERI score; 18.46% patients had moderate MERI score and 3.08% patients had severe MERI risk score. The difference in mean Air –Bone (AB) gap in the mild and moderate MERI groups’ pre and post operatively was found to be statistically highly significant (p<0.001). Conclusion Lower MERI scores prior to surgery showed significantly better outcomes with respect to graft uptake, degree of AB gap closure and hearing improvement. https://bjohns.in/journal3/index.php/bjohns/article/view/558TympanoplastyOtitis MediaMiddle Ear Risk Index |
| spellingShingle | Pradeep Gundu Buddhavarapu Kiranmayee Dipin Kumar V Phani Bhushan Ivaturi Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure Bengal Journal of Otolaryngology and Head Neck Surgery Tympanoplasty Otitis Media Middle Ear Risk Index |
| title | Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure |
| title_full | Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure |
| title_fullStr | Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure |
| title_full_unstemmed | Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure |
| title_short | Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure |
| title_sort | evaluating the role of middle ear risk indices in assessing postoperative outcome following tympanoplasty procedure |
| topic | Tympanoplasty Otitis Media Middle Ear Risk Index |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/558 |
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