Correlation Between MERI and Hearing After Tympanoplasty

Sharma, Anshu; Saxena, Rohit; Verma, Lok Ram; Bhandari, Shama

doi:10.3126/jngmc.v13i2.16533

Cited by 10 publications

(9 citation statements)

References 1 publication

(1 reference statement)

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“…The present study findings were similar to a study by Naderpour et al and Sharma et al in which mean age of study subjects was 33.6 ± 7.3 years and 22.6 ± 9.1 years respectively. 9,10 Patients with COM usually have mild MERI risk scores as seen in present study. This study findings concurred with a study by Kumar et al in which 72% had mild MERI; 24% -moderate MERI and 4% had severe MERI risk scores.…”

Section: Discussionsupporting

confidence: 69%

“…11 These findings were different as compared to a study by Sharma et al in which 64% had mild MERI score, 20% had severe MERI scores and 16% had moderate MERI scores. 10 In this study, pure tone audiogram showed that 50.77% of subjects suffered with Mild hearing impairment; 46.15% with moderate hearing impairment and 3.08% with severe hearing impairment. The present study findings were similar to a study by Muftah et al in which 37.3% of study subjects with COM had mild hearing impairment, 25.5% had moderate hearing impairment and 3.9% had severe hearing impairment.…”

Section: Discussionmentioning

confidence: 51%

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Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure

Gundu¹,

Kiranmayee

Kumar

et al. 2022

BJOHNS

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Introduction Tympanoplasty is the treatment of choice for patients suffering with Chronic Otitis Media (COM). Outcome of tympanoplasty depends on various factors like size and location of tympanic membrane perforation, ear ossicles, degree of otorrhea, cholesteatoma, smoking history, granulation tissue etc. Prediction of outcome of tympanoplasty procedure prior to surgery with respect to graft uptake and hearing improvement can serve as a crucial factor in decision making in resource limited nations. Hence, a study was conducted to evaluate the role of Middle Ear Risk Indices (MERI) in predicting the outcome among patients undergoing tympanoplasty procedure. Materials and Methods A prospective study at a tertiary care centre was conducted for a duration of 2 years among 60 patients with COM who underwent tympanoplasty. Results The mean age of patients was 25.32 ± 8.43 years with a male to female ratio of 3:2. Majority (78.46%) of the patients had Mild MERI score; 18.46% patients had moderate MERI score and 3.08% patients had severe MERI risk score. The difference in mean Air –Bone (AB) gap in the mild and moderate MERI groups’ pre and post operatively was found to be statistically highly significant (p<0.001). Conclusion Lower MERI scores prior to surgery showed significantly better outcomes with respect to graft uptake, degree of AB gap closure and hearing improvement.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 51%

Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure

Gundu¹,

Kiranmayee

Kumar

et al. 2022

BJOHNS

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“…The final score ranges from 0 to 15 and is used to categorize disease severity as normal (0), mild (1-3), moderate (4-7), and severe (8)(9)(10)(11)(12)(13)(14)(15). Pre-operative classifications of moderate and severe disease have been correlated to increased risk of tympanoplasty failure in adults, [65][66][67] but not in pediatric patients. 68 Large prospective studies, however, are still required to assess its utility in clinical practice.…”

Section: Need For Patient Stratificationmentioning

confidence: 99%

Hearing Rehabilitation of Patients with Chronic Otitis Media: A Discussion of Current State of Knowledge and Research Priorities

Backous¹,

Choi²,

Jaramillo³

et al. 2022

Int Adv Otol

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Although chronic otitis media is a major cause of conductive and mixed hearing loss, auditory rehabilitation is currently not optimal for this patient group. Planning for hearing rehabilitation must accompany strategies for infection control when surgically managing patients with chronic otitis media. Several barriers prevent adequate hearing restoration in such a heterogeneous patient population. A lack of standardized reporting of surgical interventions, hearing, and quality of life outcomes impedes meta-analyses of existing data and the generation of highquality evidence, including cost-effectiveness data, through prospective studies. This, in turn, prevents the ability of clinicians to stratify patients based on prognostic indicators, which could guide the decision-making pathway. Strategies to improve reporting standards and methods have the potential to classify patients with chronic otitis media preoperatively, which could guide decision-making for hearing restoration with ossiculoplasty versus prosthetic hearing devices. Appropriately selected clinical guidelines would not only foster directed research but could enhance patient-centered and evidence-based decision-making regarding hearing rehabilitation in the surgical planning process.

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“…Patients with lower MERI had considerably better pre-operative and post-operative air and bone conduction than patients with higher MERI [ 12 ]. Hearing improved by 4 to 6 dB in persons with mild MERI.…”

Section: Reviewmentioning

confidence: 99%

A Review of the Middle Ear Risk Index as a Prognostic Tool for Outcome in Middle Ear Surgery

Dash¹,

Deshmukh²,

Gaurkar³

et al. 2022

Cureus

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This review article aims to scrutinize the studies conducted to determine a relationship between preoperative Middle Ear Risk Index (MERI) factors and postoperative graft acceptance and audiological gain in patients undergoing tympanoplasty procedures in middle ear surgeries. Critical analysis is done on numerous research and types of studies that were done in this area during the past years. The clinical and technical aspects connected to disease and its care have a variety of effects on the morphological and functional outcome of tympanoplasty. A better comprehension of these characteristics aids in better disease prognostication, surgical planning, and patient counseling. At the end of this review, we can conclude that the MERI score is inversely proportional to the post-operative graft acceptance and audiological gain. The accumulated MERI is hence a good prognostic factor for the hearing outcome of surgery.

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Correlation Between MERI and Hearing After Tympanoplasty

Cited by 10 publications

References 1 publication

Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure

Evaluating the Role of Middle Ear Risk Indices in Assessing Postoperative Outcome following Tympanoplasty Procedure

Hearing Rehabilitation of Patients with Chronic Otitis Media: A Discussion of Current State of Knowledge and Research Priorities

A Review of the Middle Ear Risk Index as a Prognostic Tool for Outcome in Middle Ear Surgery

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