Background: The success rate of tympanoplasty in the treatment of Chronic Suppurative Otitis Media (CSOM) varies between 35 and 92 percent. The success rate is influenced by a number of factors, including the patient's age, the size and location of the perforation, ear status, ossicular status, and surgical technique. The goal of this study was to see how useful MERI was at predicting the outcome of tympanoplasty in patients with CSOM.
Methods: Fifty patients were enrolled in a one-year prospective observational research. The participants were all CSOM patients with conductive hearing loss who underwent tympanoplasty with or without cerebral mastoidectomy between the ages of 18 and 55. The role of MERI as a prognostic indicator was investigated.
Graft uptake was successful in 92 percent (n = 46) of the instances. A mild MERI score was found in 32 of the 46 instances, a moderate MERI score in 10, and a severe MERI score in four. A greater MERI score was found to be associated with a decreased rate of graft uptake.
Conclusion: Our study included 50 patients with safe CSOM who were divided into three groups according on their pre-operative MERI score: mild, moderate, and severe. The surgical outcome was considered to be substantial in terms of graft uptake in all of the patients, who received tympanoplasty with or without cortical mastoidectomy. The lower the MERI score, the lower the graft uptake rate, and the higher the MERI score, the greater the graft uptake rate. As a result, preoperative MERI can be a useful technique for determining tympanoplasty prognosis.
Author (S) Details
Poonam K. Saidha
Department of ENT, SGT Medical College and Hospital, Gurugram, Haryana, India.
Sahil Kapoor
Department of ENT, SGT Medical College and Hospital, Gurugram, Haryana, India.
Ayushi Gupta
Department of ENT, SGT Medical College and Hospital, Gurugram, Haryana, India.
View Book :- https://stm.bookpi.org/HMMS-V13/article/view/2724
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