Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?

Aim: To assess the usefulness of the Middle Ear Risk Index (MERI) in adequately predicting the success of tympanoplasty in the pediatric population. Methods: Retrospective study of children (age under 18 years old) who underwent tympanoplasty between 2014 and 2021. Demographic data, contralateral...

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Main Authors: André Carção, Pedro Marques Gomes, Diogo Cunha-Cabral, Delfim Duarte, Marta Neves
Format: Article
Language:English
Published: Portuguese Society of Otolaryngology and Head and Neck Surgery 2023-11-01
Series:Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Online Access:https://journalsporl.com/index.php/sporl/article/view/2053
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author André Carção
Pedro Marques Gomes
Diogo Cunha-Cabral
Delfim Duarte
Marta Neves
author_facet André Carção
Pedro Marques Gomes
Diogo Cunha-Cabral
Delfim Duarte
Marta Neves
author_sort André Carção
collection DOAJ
description Aim: To assess the usefulness of the Middle Ear Risk Index (MERI) in adequately predicting the success of tympanoplasty in the pediatric population. Methods: Retrospective study of children (age under 18 years old) who underwent tympanoplasty between 2014 and 2021. Demographic data, contralateral ear status, surgical technique, type of graft, pre and postoperative audiometric data and MERI score were collected. Results: Forty-seven children were evaluated (total of 58 ears), with an average age of 13±2.71 years. Cases with MERI lower than three had an odd ratio value of 0.35, demonstrating that this score is a protective factor for favorable postoperative results. In cases compatible with severe disease (MERI > 7) there was a chance about 17 times higher of having an unfavorable outcome in the postoperative period. Both these results were statistically significant (p<0.05). Conclusion: This study concludes that the MERI can be a useful tool in the preoperative evaluation in order to assess the probability of success of pediatric tympanoplasty.
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spelling doaj-art-c9f2448bde9640e7ba6cb0d1f617c8d32025-08-20T03:23:43ZengPortuguese Society of Otolaryngology and Head and Neck SurgeryRevista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2184-64992023-11-0161310.34631/sporl.2053Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?André Carção0Pedro Marques Gomes1Diogo Cunha-Cabral2Delfim Duarte3Marta Neves4Hospital Pedro Hispano, PortugalHospital Pedro Hispano, PortugalHospital Pedro Hispano, PortugalHospital Pedro Hispano, PortugalHospital Pedro Hispano, Portugal Aim: To assess the usefulness of the Middle Ear Risk Index (MERI) in adequately predicting the success of tympanoplasty in the pediatric population. Methods: Retrospective study of children (age under 18 years old) who underwent tympanoplasty between 2014 and 2021. Demographic data, contralateral ear status, surgical technique, type of graft, pre and postoperative audiometric data and MERI score were collected. Results: Forty-seven children were evaluated (total of 58 ears), with an average age of 13±2.71 years. Cases with MERI lower than three had an odd ratio value of 0.35, demonstrating that this score is a protective factor for favorable postoperative results. In cases compatible with severe disease (MERI > 7) there was a chance about 17 times higher of having an unfavorable outcome in the postoperative period. Both these results were statistically significant (p<0.05). Conclusion: This study concludes that the MERI can be a useful tool in the preoperative evaluation in order to assess the probability of success of pediatric tympanoplasty. https://journalsporl.com/index.php/sporl/article/view/2053TympanoplastyMiddle Ear Risk Indextympanic membranepediatrics
spellingShingle André Carção
Pedro Marques Gomes
Diogo Cunha-Cabral
Delfim Duarte
Marta Neves
Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
Tympanoplasty
Middle Ear Risk Index
tympanic membrane
pediatrics
title Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
title_full Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
title_fullStr Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
title_full_unstemmed Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
title_short Middle Ear Risk Index and results of pediatric tympanoplasty - adequate predictor?
title_sort middle ear risk index and results of pediatric tympanoplasty adequate predictor
topic Tympanoplasty
Middle Ear Risk Index
tympanic membrane
pediatrics
url https://journalsporl.com/index.php/sporl/article/view/2053
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