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VOLUME 15 , ISSUE 1 ( January-April, 2023 ) > List of Articles

RESEARCH ARTICLE

Predictive Value of Middle Ear Risk Index Score in the Outcome of Tympanomastoidectomy and Tympanoplasty

Abhinav Agarwal, JC Passey, Vikas Malhotra

Keywords : Chronic Otitis Media, Middle ear risk index score, Tympanoplasty

Citation Information : Agarwal A, Passey J, Malhotra V. Predictive Value of Middle Ear Risk Index Score in the Outcome of Tympanomastoidectomy and Tympanoplasty. Int J Otorhinolaryngol Clin 2023; 15 (1):5-8.

DOI: 10.5005/jp-journals-10003-1442

License: CC BY-NC 4.0

Published Online: 16-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Background and objectives: Chronic otitis media (COM) is an otological challenge especially prevalent in developing countries like India for which tympanoplasty with or without mastoidectomy is the treatment of choice. In this study, we aim to assess the predictive value of the middle ear risk index (MERI) score in the outcome of tympanoplasty. Subjects and methods: Fifty patients who underwent surgery at Lok Nayak Hospital for chronic suppurative otitis media received preoperative MERI score assessments. They were subsequently followed, and their results were evaluated based on the MERI score. Results: There is a statistical significance concerning graft uptake and hearing gain based on the MERI score. As the MERI score increased, the chances of graft uptake decreased, and the mean hearing gain also decreased accordingly. Conclusion: All patients undergoing surgery for COM should be assessed preoperatively for MERI score so that appropriate counselling and prognostication can be done about the chances of success of surgery.


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  1. Bellucci RJ. Selection of cases and classification of tympanoplasty. Otolaryngol Clin North Am 1989;22(5):911–926. PMID: 2694069.
  2. Austin DF. Ossicular reconstruction. Otolaryngol Clin North Am 1972;5(1):145–160. PMID: 4551408.
  3. Austin DF. Reporting results in tympanoplasty. Am J Otol 1985;6(1):85–88. PMID: 3976866.
  4. Kartush JM. Ossicular chain reconstruction. Capitulum to malleus. Otolaryngol Clin North Am 1994;27(4):689–715. PMID: 7984370.
  5. Becvarovski Z, Kartush JM. Smoking and tympanoplasty: Implications for prognosis and the Middle Ear Risk Index (MERI). The Laryngoscope 2001;111(10):1806–1811. DOI: https://doi.org/10.1097/00005537-200110000-00026.
  6. Shishegar M, Faramarzi M, Ravari MR. Evaluation of middle ear risk index in patients undergoing tympanoplasty. Eur Arch Otorhinolaryngol 2019;276(10):2769–2774. DOI: 10.1007/s00405-019-05539-w.
  7. Kumar N, Madkikar NN, Kishve S, et al. Using middle ear risk index and et function as parameters for predicting the outcome of tympanoplasty. Indian J Otolaryngol Head Neck Surg 2012;64(1):13–16. DOI: 10.1007/s12070-010-0115-4.
  8. Kalyanasundaram R, Narendran G, Correlation between Middle Ear Risk Index (MERI) and tympanoplasty-A prospective study. Panacea J Med Sci 2017;7(2):65–67. DOI: 10.18231/2348-7682.2017.0019.
  9. Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. Otolarygol Head Neck Surg 1995;113:186–187. DOI: 10.1016/S0194-5998(95)70103-6.
  10. Felek SA, Celik H, Islam A, et al. Type 2 ossiculoplasty: Prognostic determination of hearing results by middle ear risk index. Am J Otolaryngol 2010;31(5):325–331. DOI: 10.1016/j.amjoto.2009.03.006.
  11. Almazrou K, Alqahtani M, Alshehabi M. Middle ear risk index as a prognostic factor in pediatric ossicular reconstruction. Indian J Otol 2013;19(1):23–26. DOI: 10.4103/0971-7749.108161.
  12. Ahmed A, Sharma SC. Middle Ear Risk Index [MERI] as prognostic factor in tympanomastoidectomy with tympanoplasty. Madridge J Otorhinolar 2016;1(1):15–22. DOI: 10.1016/j.ijporl.2021.110695.
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