Middle ear risk index as a prognostic factor in pediatric ossicular reconstruction

Al-Mazrou, Khalid A.; Alshehabi, Mohamed

doi:10.4103/0971-7749.108161

Cited by 13 publications

(11 citation statements)

References 12 publications

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“…On applying the one way ANOVA the p-value was (P=0.01). This observation was in concurrence with the finding of Gulati A, et al [26] and not in concurrence with findings of Khalid A, et al [27]. Further post hoc Tukey's Honest Significant Difference test was applied to find the difference between mild, moderate and severe MERI groups.…”

Section: Middle Ear Risk Indexsupporting

confidence: 84%

“…In our study the p-value for mean audiological gain in the group of the patients with mild, moderate and severe MERI at 6 months after surgery on applying the one way ANOVA was (P=0.02), the difference being statistically significant. This observation was in concurrence with the finding of Gulati A, et al [26] and not in concurrence with findings of Khalid A, et al [27]. Post hoc Tukey's Honest Significant Difference test was applied to find the difference between mild, moderate and severe MERI groups.…”

Section: Middle Ear Risk Indexsupporting

confidence: 83%

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Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

Ahmed¹,

Sharma²

2016

Madridge J Otorhinolaryngol

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Section: Middle Ear Risk Indexsupporting

confidence: 84%

Section: Middle Ear Risk Indexsupporting

confidence: 83%

Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

Ahmed¹,

Sharma²

2016

Madridge J Otorhinolaryngol

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show abstract

“…In our study the p-value for mean audiological gain in the group of the patients with mild, moderate and severe MERI at 6 months after surgery on applying the one way ANOVA was (P=0.02), the difference being statistically significant. This observation was in concurrence with the finding of Gulati A, et al [26] and not in concurrence with findings of Khalid A, et al [27]. Post hoc Tukey's Honest Significant Difference test was appliedto find the difference between mild, moderate and severe MERI groups.…”

Section: Middle Ear Risk Indexsupporting

confidence: 87%

“…On applying the one way ANOVA the p-value was (P=0.01). This observation was in concurrence with the finding of Gulati A, et al [26] and not in concurrence with findings of Khalid A,et al [27]. Further post hoc Tukey's Honest Significant Difference test was applied to find the difference between mild, moderate and severe MERI groups.…”

Section: Middle Ear Risk Indexsupporting

confidence: 87%

Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

2020

IJPHRD

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Aims: To evaluate a group of patients undergoing surgery for chronic otitis media with reference to the prognostic value of middle ear risk index and other factors in predicting the anatomical and functional outcome of tympanomastoidectomy with tympanoplasty. Subjects:The study comprised of 90 patients suffering from chronic otitis media with or without cholesteatoma. Patients attending the Otorhinolaryngology out patients department were considered for this study. Methods:The patients underwent tympanomastoidectomy with tympanoplasty in which mastoidectomy performed was of either canal wall up or canal wall down technique. In cholesteatoma surgery, whenever possible a canal wall up procedure was performed. Myringoplasty was done using autologous temporalis fascia graft by underlay technique. Middle ear risk index [MERI] and other factors were evaluated for their outcome predictive role in patients undergoing tympanomastoidectomy with tympanoplasty.Results: Outcomes were evaluated in terms of tympanic membrane graft uptake and post operative mean audiological gain. The Middle ear risk index was also found to be significant predictor ofthe outcome of surgery. The patients with mild MERI scores had significantly better prognosis than the patients with sever MERI scores. Conclusion:The Anatomical and Functional outcome of tympanomastoidectomy with tympanoplasty is diversely affected by the pathological and technical factors associated with disease and its management. A better understanding of these factors is helpful for better prognostication of the factors affecting the disease and in planning the surgical procedure.

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“…Many factors affect tympanoplasty outcomes; therefore, different authors developed various indices to predict the results. However, none of these indices could achieve universal acceptance [16]. A multitude of factors affects postoperative OCR results with tympanomastoidectomy.…”

Section: Introductionmentioning

confidence: 99%

Correlation of intraoperative middle ear status and hearing results in single-stage canal wall down tympanomastoidectomy with PORP—a prospective study

Tamang

Shakya

Pradhananga

et al. 2021

Egypt J Otolaryngol

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Background Mastoidectomy is one of the common surgical procedures performed by the otologist. It is commonly done for cholesteatomatous chronic otitis media (CCOM) and can be performed as either canal wall up or down techniques. Most of the CCOM is associated with ossicular erosions which require ossicular chain reconstruction (OCR) which can be done either in one stage or multiple stages. A multitude of factors affects postoperative OCR results with tympanomastoidectomy. Among various factors, the status of the tympanic membrane and middle ear mucosa is quite essential. To date, there are no randomized or prospective studies assessing the integrity of pars tensa and status of the middle ear mucosa in hearing outcomes in single-stage tympanomastoidectomy using partial ossicular replacement prosthesis (PORP) in the literature. Therefore, this study is performed to correlate the integrity of pars tensa and middle ear mucosa condition with postoperative hearing results of single-stage canal wall down (CWD) tympanomastoidectomy with PORP. Results Forty-two patients with cholesteatomatous chronic otitis media underwent single-stage canal wall down mastoidectomy (CWD) and partial ossicular replacement prosthesis (PORP) placement. The statistical analysis was done to compare the results of postoperative hearing with the intraoperative integrity of pars tensa and middle ear mucosa status. The mean pre- and postoperative air-bone gaps (ABGs) of all cases were 23.9 dB and 21 dB, respectively, with no statistically significant difference. In the pars tensa intact group, the mean pre- and postoperative ABGs were 21.5 dB and 18.5 dB, respectively, and in the pars tensa not intact group, the mean pre- and postoperative ABGs were 25.7 dB and 22.8 dB, respectively, and both groups had statistically insignificant difference. The pre- and postoperative ABGs in the healthy middle ear mucosa group were 20.7 dB and 19 dB, respectively. Similarly, the pre- and postoperative ABGs in non-healthy middle ear mucosa were 24.4 dB and 21.2 dB, respectively. The differences were not statistically significant in both groups. Conclusion There was a statistically significant improvement in postoperative air conduction threshold (ACT) in all cases. The integrity of pars tensa and middle ear mucosa status did not affect the postoperative hearing outcome in single-stage CWD tympanomastoidecomty using PORP.

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Middle ear risk index as a prognostic factor in pediatric ossicular reconstruction

Cited by 13 publications

References 12 publications

Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

Middle Ear Risk Index [MERI] as Prognostic Factor in Tympanomastoidectomy with Tympanoplasty

Correlation of intraoperative middle ear status and hearing results in single-stage canal wall down tympanomastoidectomy with PORP—a prospective study

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