In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?

Introduction The study was aimed to find out whether any correlation exists between Middle Ear Risk Index (MERI) and the diagnostic ability of otoendoscopes to help in the decision making to preserve the posterior canal wall in management of cases of chronic otitis media(COM) squamous type. Mate...

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Main Authors: Titas Kar, Diptanshu Mukherjee, Shaoni Sanyal, Saumendra Nath Bandyopadhyay
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2021-02-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/284
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author Titas Kar
Diptanshu Mukherjee
Shaoni Sanyal
Saumendra Nath Bandyopadhyay
author_facet Titas Kar
Diptanshu Mukherjee
Shaoni Sanyal
Saumendra Nath Bandyopadhyay
author_sort Titas Kar
collection DOAJ
description Introduction The study was aimed to find out whether any correlation exists between Middle Ear Risk Index (MERI) and the diagnostic ability of otoendoscopes to help in the decision making to preserve the posterior canal wall in management of cases of chronic otitis media(COM) squamous type. Materials and Methods   Patients of chronic otitis media squamous active type were subjected to tympanomastoid surgery under the microscope and adjunctive use of otoendoscope. After proper disease clearance under microscope, otoendoscopes were taken as an adjunct to find out whether any residual disease was being left behind and to confirm whether the posterior canal wall could be preserved. Dubious cases in which the canal wall could be saved due to conclusive evidence of disease removal through the endoscope were taken as the ones being influenced by otoendoscopic decision-making. Results Patients having moderate MERI score were likely to have their canal walls spared by endoscopic evaluation. Discussion The percentage of residual disease detected with otoendoscopes were concurrent with other studies reporting similar figures. Conclusion The otoendoscope is decidedly more helpful in conclusive decision making in  preserving the posterior canal wall in a case of chronic otitis media.
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spelling doaj.art-eb3cb1a49912472e9d8e781ed4917ae52024-03-03T06:10:48ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-02-0128310.47210/bjohns.2020.v28i3.284In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?Titas Kar0Diptanshu Mukherjee1Shaoni Sanyal2Saumendra Nath Bandyopadhyay3Institute of Postgraduate Medical Education and Research (IPGMER)Medical College and Hospital KolkataVivekananda Institute of Medical Sciences (VIMS)Medical College and Hospital KolkataIntroduction The study was aimed to find out whether any correlation exists between Middle Ear Risk Index (MERI) and the diagnostic ability of otoendoscopes to help in the decision making to preserve the posterior canal wall in management of cases of chronic otitis media(COM) squamous type. Materials and Methods   Patients of chronic otitis media squamous active type were subjected to tympanomastoid surgery under the microscope and adjunctive use of otoendoscope. After proper disease clearance under microscope, otoendoscopes were taken as an adjunct to find out whether any residual disease was being left behind and to confirm whether the posterior canal wall could be preserved. Dubious cases in which the canal wall could be saved due to conclusive evidence of disease removal through the endoscope were taken as the ones being influenced by otoendoscopic decision-making. Results Patients having moderate MERI score were likely to have their canal walls spared by endoscopic evaluation. Discussion The percentage of residual disease detected with otoendoscopes were concurrent with other studies reporting similar figures. Conclusion The otoendoscope is decidedly more helpful in conclusive decision making in  preserving the posterior canal wall in a case of chronic otitis media.https://bjohns.in/journal3/index.php/bjohns/article/view/284EndoscopyMastoidectomyCholesteatoma, Middle EarDecision Making
spellingShingle Titas Kar
Diptanshu Mukherjee
Shaoni Sanyal
Saumendra Nath Bandyopadhyay
In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
Bengal Journal of Otolaryngology and Head Neck Surgery
Endoscopy
Mastoidectomy
Cholesteatoma, Middle Ear
Decision Making
title In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
title_full In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
title_fullStr In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
title_full_unstemmed In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
title_short In Saving the Canal Wall, can MERI and Otoendoscopes Help Take a Call?
title_sort in saving the canal wall can meri and otoendoscopes help take a call
topic Endoscopy
Mastoidectomy
Cholesteatoma, Middle Ear
Decision Making
url https://bjohns.in/journal3/index.php/bjohns/article/view/284
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