Using Middle Ear Risk Index and ET Function as Parameters for Predicting the Outcome of Tympanoplasty

Kumar, Naresh; Madkikar, N. N.; Kishve, S P; Chilke, Devashri; Shinde, Kiran Jaywant

doi:10.1007/s12070-010-0115-4

Cited by 33 publications

(37 citation statements)

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“…In the present study, the most common age group affected with COM was 21-30 years (46%), followed by 31-40 (36%) and least in the age group of less than 20 years. This was similar to the studies of Kumar et al 5 According to Glasscock, though otitis media is a disease which occurs commonly in paediatric age group, the mean age at which the disease manifests is 20-29 years. Due to this reason, it is more commonly seen in young adults.…”

Section: Discussionsupporting

confidence: 91%

“…It may be classified COM squamous and COM mucosal. 5 COM when left untreated can lead to various morbidities and in certain cases may cause serious temporal and intracranial complications. 6 The MERI was presented by Becvarovski and Kartush and it generated as a numeric indicator of the severity of middle ear disease, to stratify the cases in different prognostic categories.…”

Section: Discussionmentioning

confidence: 99%

“…The success and failure of surgical correction and the factors affecting it are an important part of counselling a patient undergoing surgery. 5 The present study was undertaken to study the effect of otorrhoea, osscicular and middle ear status on anatomical and functional results in patients undergoing tympanoplasty with or without mastoidectomy for chronic otitis media mucosal disease.…”

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confidence: 99%

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Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: The objective of the study was to assess the effect of otorrhoea, osscicular and middle ear status on anatomical and functional results in patients undergoing tympanoplasty with or without mastoidectomy for chronic otitis media mucosal diseaseMethods: This was a prospective study conducted on 100 patients with otological complaints (otorrhoea, hearing loss) attending the out-patient Department of ENT, at Mamata Medical College and Research Hospital, Khammam Telangana state during the period from December 2015 to July 2017. All the patients underwent a detailed general physical, otoneurological evaluation, hearing assessment by pure-tone audiometry prior to surgery. As per MERI the patients were evaluated for factors preoperatively and intraoperatively. Postoperatively the patients were followed up at 3 and 6 months to ascertain the structural (graft take up) and functional (hearing improvement) success.Results: Otorrhoea was the most common complaint observed (48%). As per Belluci's classification of otorrhoea, maximum number of patients (52%) had a dry ear, wet ears (48%) and persistently wet ears (8%). According to Austin-Kartush classification 50 patients had an intact ossicular chain, defects of the incus in 36 patients, defects in both malleus and incus, stapes and incus was seen in 7 patients each. Majority of the patients 79% had normal middle ear status while 21% of them had middle ear effusion present. Majority of the patients belonged to the group of mild risk MERI (l-3) (n=69) patients, moderate risk category MERI (4-6) (n=26) severe risk (7-12) (n=5). Graft uptake was successful in 78 patients and failure in 22 patients. Hearing Improvement was noticed in 78 patients.Conclusion: Otorrhoea and middle ear cleft status have an impact on the success of the tympanoplasty, while ossicular status did not have a significant effect on the outcome.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Sridhar

2018

Int J Otorhinolaryngol Head Neck Surg

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“…(8) DISCUSSION: Perforation of the tympanic membrane causes a conductive hearing loss. (9) Perforation induced losses are greatest at lowest frequencies. Larger perforations result in larger hearing losses.…”

Section: Preparation Of Tcamentioning

confidence: 99%

A Study on Closure of Tympanic Membrane by 10% Tca

P¹,

Chaitanya²,

D³

2015

jemds

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“…(3) Medical costs associated with tympanoplasty have recently compelled investigators to search for less expensive, simple non-surgical methods. (4) Without closure of perforation, morbidity may include chronic otorrhoea and cholesteatoma formation, deterioration of hearing. (5) The purposes of closing chronic dry perforations of the tympanic membrane are to improve hearing and prevent middle ear infections.…”

Section: Introductionmentioning

confidence: 99%

Chemical Cauterization by Using Trichloroacetic Acid in Tympanic Membrane Perforations: Our Experience

Bala¹,

Kannappan²,

Nahas³

et al. 2016

jemds

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OBJECTIVEIn developing countries like India, where tertiary medical facility is not available to all people, treatment should be easily feasible. Small and cost effective procedures like Chemical Cauterization may be a good option for restoring the continuity of tympanic membrane in patients with non-healing perforation in the pars tensa. AIMTo study the effectiveness of chemical cauterisation using trichloroacetic acid in chronic non-healing small dry perforation. MATERIALS AND METHODS40 patients with non-healing dry tympanic membrane perforations were included in the study; 30 percentage TCA was used to cauterize the margins of the perforation. The study was conducted in ENT Department of Vinayaka Missions Medical College and Hospital for duration of 1 year from June 2014 to June 2015. RESULTSThe success rate of the procedure is 92.5%. CONCLUSIONIt is a promising office-based technique for closure of chronic small dry tympanic membrane perforations. It is a relatively easy, simple, safe and economical procedure. KEYWORDSChemical Cauterization, Hearing Results, Tympanic Membrane Perforations. HOW TO CITE THIS ARTICLE:Bala G, Kannappan AL, Nahas TK, et al. Chemical cauterization by using trichloroacetic acid in tympanic membrane perforations: our experience.

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Using Middle Ear Risk Index and ET Function as Parameters for Predicting the Outcome of Tympanoplasty

Cited by 33 publications

References 0 publications

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

Impact of otorrhoea and ossicular status on the effect of tympanoplasty

A Study on Closure of Tympanic Membrane by 10% Tca

Chemical Cauterization by Using Trichloroacetic Acid in Tympanic Membrane Perforations: Our Experience

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