{"title":"中耳风险指数评分、诊断性鼻内窥镜检查及咽鼓管功能对鼓室成形术预后的预测作用","authors":"R. Nambiar","doi":"10.36611/upjohns/volume10/issue1/3","DOIUrl":null,"url":null,"abstract":"AIM\nTo study the role of middle ear risk index (MERI)\nscore, nasal pathology and Eustachian tube\nf u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f\ntympanoplasty.\nMETHODOLOGY\nPatients of age group 5-60 years both male and\nfemale with diagnosis of CSOM, planned for\ntympanoplasty with or without mastoidectomy\nwere taken in the study. Detailed history and\nexamination of all patients fulfilling the inclusion\ncriteria was done. Preop findings were observed\nand recorded. MERI scoring was obtained. The\ndata collected pre operatively was assessed with\nsurgical outcome based on graft uptake status and\nPTA. Post op follow up was done at 1.5 and 3\nmonths. This data was evaluated and compared\nwith pre op finding.\nRESULTS\nThe overall success rate of tympanoplasty in the\nstudy was 86% based on graft uptake and 85%\naccording to hearing benefit. The number of\npatients with graft up[take was higher among\nthose with mild MERI score (87.5%) compared to\nthose with moderate and severe MERI scores\n(83%). The graft uptake is lesser in patients with\ngross DNS & Eustachian tube dysfunction. Thus\nMERI is a helpful tool to ascertain the prognosis of\ntympanoplasty.\nCONCLUSION\nThe study concludes that MERI score, DNE and ET\nfunction evaluation in patients with chronic otitis\nmedia are very useful methods in predicting the\noutcome of tympanoplasty.\nKEYWORDS\nChronic otitis media, Middle ear risk index,\nEustachian tube function, diagnostic nasal\nendoscopy, tympanoplasty outcome","PeriodicalId":356722,"journal":{"name":"First Issue 2022","volume":"33 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ROLE OF MIDDLE EAR RISK INDEX SCORE,\\nDIAGNOSTIC NASAL ENDOSCOPY AND EUSTACHIAN TUBE\\nFUNCTION IN PREDICTING OUTCOME OF TYMPANOPLASTY\",\"authors\":\"R. Nambiar\",\"doi\":\"10.36611/upjohns/volume10/issue1/3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"AIM\\nTo study the role of middle ear risk index (MERI)\\nscore, nasal pathology and Eustachian tube\\nf u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f\\ntympanoplasty.\\nMETHODOLOGY\\nPatients of age group 5-60 years both male and\\nfemale with diagnosis of CSOM, planned for\\ntympanoplasty with or without mastoidectomy\\nwere taken in the study. Detailed history and\\nexamination of all patients fulfilling the inclusion\\ncriteria was done. Preop findings were observed\\nand recorded. MERI scoring was obtained. The\\ndata collected pre operatively was assessed with\\nsurgical outcome based on graft uptake status and\\nPTA. Post op follow up was done at 1.5 and 3\\nmonths. This data was evaluated and compared\\nwith pre op finding.\\nRESULTS\\nThe overall success rate of tympanoplasty in the\\nstudy was 86% based on graft uptake and 85%\\naccording to hearing benefit. The number of\\npatients with graft up[take was higher among\\nthose with mild MERI score (87.5%) compared to\\nthose with moderate and severe MERI scores\\n(83%). The graft uptake is lesser in patients with\\ngross DNS & Eustachian tube dysfunction. Thus\\nMERI is a helpful tool to ascertain the prognosis of\\ntympanoplasty.\\nCONCLUSION\\nThe study concludes that MERI score, DNE and ET\\nfunction evaluation in patients with chronic otitis\\nmedia are very useful methods in predicting the\\noutcome of tympanoplasty.\\nKEYWORDS\\nChronic otitis media, Middle ear risk index,\\nEustachian tube function, diagnostic nasal\\nendoscopy, tympanoplasty outcome\",\"PeriodicalId\":356722,\"journal\":{\"name\":\"First Issue 2022\",\"volume\":\"33 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-06-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"First Issue 2022\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36611/upjohns/volume10/issue1/3\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"First Issue 2022","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36611/upjohns/volume10/issue1/3","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
ROLE OF MIDDLE EAR RISK INDEX SCORE,
DIAGNOSTIC NASAL ENDOSCOPY AND EUSTACHIAN TUBE
FUNCTION IN PREDICTING OUTCOME OF TYMPANOPLASTY
AIM
To study the role of middle ear risk index (MERI)
score, nasal pathology and Eustachian tube
f u n c t i o n i n p r e d i c t i n g t h e o u t c o m e o f
tympanoplasty.
METHODOLOGY
Patients of age group 5-60 years both male and
female with diagnosis of CSOM, planned for
tympanoplasty with or without mastoidectomy
were taken in the study. Detailed history and
examination of all patients fulfilling the inclusion
criteria was done. Preop findings were observed
and recorded. MERI scoring was obtained. The
data collected pre operatively was assessed with
surgical outcome based on graft uptake status and
PTA. Post op follow up was done at 1.5 and 3
months. This data was evaluated and compared
with pre op finding.
RESULTS
The overall success rate of tympanoplasty in the
study was 86% based on graft uptake and 85%
according to hearing benefit. The number of
patients with graft up[take was higher among
those with mild MERI score (87.5%) compared to
those with moderate and severe MERI scores
(83%). The graft uptake is lesser in patients with
gross DNS & Eustachian tube dysfunction. Thus
MERI is a helpful tool to ascertain the prognosis of
tympanoplasty.
CONCLUSION
The study concludes that MERI score, DNE and ET
function evaluation in patients with chronic otitis
media are very useful methods in predicting the
outcome of tympanoplasty.
KEYWORDS
Chronic otitis media, Middle ear risk index,
Eustachian tube function, diagnostic nasal
endoscopy, tympanoplasty outcome