<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-6499</journal-id>
<journal-title><![CDATA[Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port ORL]]></abbrev-journal-title>
<issn>2184-6499</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-64992023000300299</article-id>
<article-id pub-id-type="doi">10.34631/sporl.2053</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Middle Ear Risk Index e resultados da timpanoplastia pediátrica Preditor adequado?]]></article-title>
<article-title xml:lang="en"><![CDATA[Middle Ear Risk Index and results of pediatric tympanoplasty - Adequate predictor?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carção]]></surname>
<given-names><![CDATA[André Alves]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Pedro Marques]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cunha-Cabral]]></surname>
<given-names><![CDATA[Diogo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Delfim]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Neves]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pedro Hispano  ]]></institution>
<addr-line><![CDATA[Matosinhos ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2023</year>
</pub-date>
<volume>61</volume>
<numero>3</numero>
<fpage>299</fpage>
<lpage>304</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-64992023000300299&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-64992023000300299&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-64992023000300299&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivos:  Determinar a utilidade do Middle Ear Risk Index (MERI) como preditor de sucesso da timpanoplastia na população pediátrica.  Material e Métodos:  Estudo retrospetivo das crianças (idade inferior a 18 anos) que foram submetidas a timpanoplastia entre 2014 e 2021. Foram recolhidos dados demográficos e dados clínicos referentes ao estado do ouvido contralateral, técnica cirúrgica, tipo de enxerto, resultados audiométricos pré e pós-operatórios e score MERI.  Resultados:  Foram avaliadas 47 crianças (total de 58 ouvidos), com uma idade média de 13±2,71 anos. Os casos com MERI inferior a três apresentaram um valor de odd ratio de 0.35 indicando que este score constitui um fator protetor para resultados favoráveis pós-operatórios. Os casos com score MERI superior a sete registaram uma possibilidade cerca de 17 vezes superior de terem um resultado desfavorável no pós-operatório. Ambos os resultados foram estatisticamente significativos (p&lt;0.05).  Conclusões:  Este estudo conclui que o MERI pode ser uma ferramenta útil na avaliação pré-operatória como preditor de sucesso da timpanoplastia em idade pediátrica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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 &gt; 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&lt;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.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Timpanoplastia]]></kwd>
<kwd lng="pt"><![CDATA[Pediatria]]></kwd>
<kwd lng="pt"><![CDATA[Middle Ear Risk Index]]></kwd>
<kwd lng="pt"><![CDATA[membrana timpânica]]></kwd>
<kwd lng="en"><![CDATA[Tympanoplasty]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[Middle Ear Risk Index]]></kwd>
<kwd lng="en"><![CDATA[tympanic membrane]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dash]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Deshmukh]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gaurkar]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Sandbhor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A review of the middle ear risk index as a prognostic tool for outcome in middle ear surgery]]></article-title>
<source><![CDATA[Cureus]]></source>
<year>2022</year>
<volume>14</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shishegar]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Faramarzi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rashidi Ravari]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of middle ear risk index in patients undergoing tympanoplasty]]></article-title>
<source><![CDATA[Eur Arch Otorhinolaryngol]]></source>
<year>2019</year>
<volume>276</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>2769-74</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sarkar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Roychoudhury]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Roychaudhuri]]></surname>
<given-names><![CDATA[BK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tympanoplasty in children]]></article-title>
<source><![CDATA[Eur Arch Otorhinolaryngol]]></source>
<year>2009</year>
<volume>266</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>627-33</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baklaci]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Guler]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kuzucu]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Kum]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
<name>
<surname><![CDATA[Ozcan]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Type 1 tympanoplasty in pediatric patients a review of 102 cases]]></article-title>
<source><![CDATA[BMC Pediatr]]></source>
<year>2018</year>
<volume>18</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>345</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Rato]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[de Vilhena]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Type I tympanoplasty in pediatric age - The results of a tertiary hospital]]></article-title>
<source><![CDATA[Int J Pediatr Otorhinolaryngol]]></source>
<year>2021</year>
<volume>150</volume>
<page-range>110899</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hardman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Muzaffar]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nankivell]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Coulson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tympanoplasty for chronic tympanic membrane perforation in children systematic review and meta-analysis]]></article-title>
<source><![CDATA[Otol Neurotol]]></source>
<year>2015</year>
<volume>36</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>796-804</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pinar]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sadullahoglu]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Calli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Oncel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of prognostic factors and middle ear risk index in tympanoplasty]]></article-title>
<source><![CDATA[Otolaryngol Head Neck Surg]]></source>
<year>2008</year>
<volume>139</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>386-90</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torre Carlos]]></surname>
<given-names><![CDATA[DL]]></given-names>
</name>
<name>
<surname><![CDATA[Carolina]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Perla]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Middle ear risk index (MERI) as a prognostic factor for tympanoplasty success in children]]></article-title>
<source><![CDATA[Int J Pediatr Otorhinolaryngol]]></source>
<year>2021</year>
<volume>144</volume>
<page-range>110695</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kartush]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Michaelides]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Becvarovski]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[LaRouere]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Over-under tympanoplasty]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>2002</year>
<volume>112</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>802-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Becvarovski]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Kartush]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Smoking and tympanoplasty implications for prognosis and the Middle Ear Risk Index (MERI)]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>2001</year>
<volume>111</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1806-11</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zwierz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Haber]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Sinkiewicz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kalinczak-Górna]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tyra]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Mierzwinski]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The significance of selected prognostic factors in pediatric tympanoplasty]]></article-title>
<source><![CDATA[Eur Arch Otorhinolaryngol]]></source>
<year>2019</year>
<volume>276</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>323-33</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<collab>Committee on Hearing and Equilibrium</collab>
<article-title xml:lang=""><![CDATA[guidelines for the evaluation of results of treatment of conductive hearing loss AmericanAcademy of Otolaryngology-Head and Neck Surgery Foundation, Inc]]></article-title>
<source><![CDATA[Otolaryngol Head Neck Surg]]></source>
<year>1995</year>
<volume>113</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>186-7</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boronat-Echeverría]]></surname>
<given-names><![CDATA[NE]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes-García]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sevilla-Delgado]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Aguirre-Mariscal]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Mejía-Aranguré]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Prognostic factors of successful tympanoplasty in pediatric patients a cohort study]]></article-title>
<source><![CDATA[BMC Pediatr]]></source>
<year>2012</year>
<volume>12</volume>
<page-range>67</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Çayir]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kayabasi]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Type 1 tympanoplasty in pediatric patients comparison of fascia and perichondrium grafts]]></article-title>
<source><![CDATA[Int J Pediatr Otorhinolaryngol]]></source>
<year>2019</year>
<volume>121</volume>
<page-range>95-8</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ozbek]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Ciftçi]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Tuna]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
<name>
<surname><![CDATA[Yazkan]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Ozdem]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A comparison of cartilage palisades and fascia in type 1 tympanoplasty in children anatomic and functional results]]></article-title>
<source><![CDATA[Otol Neurotol]]></source>
<year>2008</year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>679-83</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kumar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Madkikar]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
<name>
<surname><![CDATA[Kishve]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Chilke]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Shinde]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Using middle ear risk index and ET function as parameters for predicting the outcome of tympanoplasty]]></article-title>
<source><![CDATA[Indian J Otolaryngol Head Neck Surg]]></source>
<year>2012</year>
<volume>64</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>13-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
