Pengaruh Skor Middle Ear Risk Index (MERI) Terhadap Perubahan Ambang Dengar Pada Penderita Otitis Media Supuratif Kronis Pasca impanomastoidektomi

Abstract

Background: One of the main purposes of tympanoplasty is to improve hearing. Middle Ear Risk Index (MERI) Scores can be use to predict the average success in the procedure of middle ear reconstruction. Aim and Objective: The objective of the research was to assess the change in hearing threshold after tympanoplasty, based on the assessment of MERI Scores. Material and Methods: We performed the assessment on the change in hearing threshold after tympanoplasty, based on the assessment of MERI Scores. Observational perspective assessment was done on 21 patients with chronic suppurative otitis media (CSOM) who underwent tympanoplasty in RSU Haji Mina, Medan. Pure tone audiometry was done before and 12 weeks after tympanoplasty, and MERI Scores was assessed before and during the operation. Results: It was found that there was the correlation of MERI Scores as the predictor of hearing threshold after tympanoplasty in patients with CSOM. Conclusion: MERI Scores could be used as a measuring instrument to assess the prognosis of hearing threshold after tympanoplasty.

Pendahuluan: Skor Middle Ear Risk Index (MERI) dapat digunakan untuk memprediksi rerata keberhasilan pada prosedur rekonstruksi telinga tengah. Kami melakukan penilaian terhadap peningkatan ambang dengar pasca timpanoplasti berdasarkan penilaian skor MERI. Tujuan: Menilai perbaikan ambang dengar pasca timpanoplasti berdasarkan penilaian skor MERI. Metode: Dilakukan penilaian observasional prospektif terhadap 21 penderita omsk yang menjalani timpanoplasti di RSU Haji Mina Medan. Dilakukan audiometri nada murni sebelum dan 12 minggu setelah timpanoplasti, dilakukan penilaian skor MERI sebelum dan durante operasi. Hasil: Dijumpai korelasi antara skor MERI sebagai prediktor ambang dengar pasca timpanoplasti pada pasien omsk. Kesimpulan: Skor MERI dapat digunakan sebagai alat ukur untuk menilai prognosis ambang dengar pasca timpanoplasti.