Is it the Middle Ear Disease or the Reconstruction Material That Determines the Functional Outcome in Ossicular Chain Reconstruction?

Demir, Uygar; Karaca, Sait; Ozmen, Omer Afşın; Kasapoğlu, Fikret; Çoşkun, Hakan; Basut, Oğuz

doi:10.1097/mao.0b013e31824b774c

Cited by 23 publications

(15 citation statements)

References 21 publications

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“…In this study the mean preoperative PTA average was 44. and air-conduction improvement (p<0.001 for both) were statistically significant in the mild-and moderate-risk groups, whereas those changes were found to be insignificant in the 9 severe-risk group .…”

Section: Discussionmentioning

confidence: 72%

Correlation Between MERI and Hearing After Tympanoplasty

Sharma

Saxena

Verma

et al. 2017

J. Nepalgunj Med. College

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Background: Chronic otitis media is otological challenge in the developing countries it is particularly single most common cause of hearing impairement. Objective: The objective of this study was to observe the impact of prognostic factor middle ear risk index on hearing of patients undergoing tympanoplasty for chronic otitis media. Methods: This was a prospective analytical study conducted in 50 patients planned for tympanoplasty for chronic otitis media and evaluation done by MERI (Middle Ear Risk Index) and pure tone audiometry. Results: This study shows that most of the patients had mild MERI (64%), followed by severe MERI (20%) and then moderate MERI (16%). The mean preoperative PTA average was 44.34 dB (SD 8.01 dB) for patient with mild MERI, 44.75 dB (SD 5.87 dB) for patient with moderate MERI, and 54.9 dB (SD 14.05 dB) for patient with severe MERI and the mean preoperative A-B gap was 37.36 dB (SD 5.73 dB). Post operatively for mild MERI mean hearing gain is 12-14dB, for moderate MERI mean hearing gain is 10-13dB and for severe MERI mean hearing gain is 10-13dB and post operative mean A-B gap was improved by 10-11dB. There is a statistically significant hearing improvement in A-B gap with different types of MERI. Conclusion: MERI scoring is useful for predicating the outcome of hearing after tympanoplasty.

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Section: Discussionmentioning

confidence: 72%

Correlation Between MERI and Hearing After Tympanoplasty

Sharma

Saxena

Verma

et al. 2017

J. Nepalgunj Med. College

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“…The two indexes similarly report middle ear factors such as otorrhea, status of the mucosa, status of the ossicles, and stage procedure status (revision or first-stage procedure). Based on the MERI, Demir et al (10) have shown that the success rate is highly correlated with the pathophysiologic status of the middle ear independently from the type of replacement material. Indeed, different types of prosthesis for ossiculoplasty were compared, and no obvious differences were found by most studies (11)(12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

Does Checking the Placement of Ossicular Prostheses via the Posterior Tympanotomy Improve Hearing Results After Cholesteatoma Surgery?

Roux

Bakhos

Villeneuve

et al. 2015

Otology &Amp; Neurotology

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“…This is certainly an unanswered question that is worthy of further research and scrutiny, yet recent data suggest that the middle ear status may be the most important determinant of ossiculoplasty success (25). It is the authors' hope that future efforts in this realm will take note of the general investigational method that is outlined in this report, involving an attempt to compare predicted versus actual hearing outcomes and to frame results based on middle ear risk factors (25). We believe investigators should use the OOPS or one of the other similar published middle ear risk indices for this purpose (15,16,18,19).…”

Section: Discussionmentioning

confidence: 96%