Significance of the middle ear risk index in predicting tympanoplasty success in the elderly
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OTOLOGY
Significance of the middle ear risk index in predicting tympanoplasty success in the elderly Ergun Sevil1 · Ahmet Doblan2 Received: 28 June 2020 / Accepted: 7 October 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose To evaluate the relationship between middle ear risk index (MERI) score and success of tympanoplasty in elderly (≥ 60 years) compared with young patients (18–59 years) and to investigate the prognostic factors affecting the success of tympanoplasty. Methods Patients were subdivided into three subgroups according to the MERI score as follows: mild (0–3), moderate (4–6), and severe (≥ 7). Ages, perforation sides and location, preoperative and postoperative audiological results, and the graft success of 29 patients aged over 60 years were compared with those of 52 patients aged between 18 and 59 years. Results Preoperative and postoperative air conduction, preoperative and postoperative bone conduction, and preoperative and postoperative air–bone gap (ABG) were higher in the older group compared with the younger group (p
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