Yung Matthew, James Adrian, Merkus Paul, Philips John, Black Bruce, Tono Tetsuya, Linder Thomas, Dornhoffer John, İncesulu Armagan
Department of Otolaryngology, East Suffolk and North Essex NHS Foundation Trust, Ipswich, United Kingdom.
Department of Otolaryngology - Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Canada.
J Int Adv Otol. 2018 Aug;14(2):216-226. doi: 10.5152/iao.2018.5553.
The International Otology Outcome Group (IOOG) was founded in 2017 to encourage and facilitate international collaboration with regard to the surgical outcome of ear surgery. This report outlines the methodology and recommendations of the consensus-based categorization of tympanomastoid surgery produced by the IOOG. The IOOG Steering Committee used the acronym SAMEO-ATO to categorize tympanomastoid operations, representing the stage of surgery, approach, mastoid bone extirpation, external bony wall repair, obliteration of the mastoid cavity, access to the middle ear, tympanic membrane reconstruction, and ossicular reconstruction. A modified Delphi technique was used to obtain international consensus. The expert panels included the chairpersons from 21 otology societies. The approval rate of the SAMEO-ATO system from the otology societies was 95%. The SAMEO-ATO scheme was presented at the 31st Politizer Meeting for field testing. There were no objections or serious concerns raised. Some international otologists wished to see more surgical categories included to reflect the varieties of surgical techniques, but they accepted that it would make the whole system cumbersome. In addition to providing an international categorization of tympanomastoid surgery, the IOOG Steering Committee plans to introduce a common otology dataset that the international otology community could use to record their surgical outcome. The high level of international consensus on the IOOG categorization of tympanomastoid surgery supports this tool for surgeons to pool their surgical data into a large database for research and comparative audit.
国际耳科学结果小组（IOOG）成立于2017年，旨在鼓励和促进耳科手术外科结果方面的国际合作。本报告概述了IOOG基于共识的鼓室乳突手术分类方法和建议。IOOG指导委员会使用首字母缩写词SAMEO-ATO对鼓室乳突手术进行分类，分别代表手术阶段、手术入路、乳突骨切除、外耳道骨壁修复、乳突腔填塞、中耳入路、鼓膜重建和听骨链重建。采用改良德尔菲技术以达成国际共识。专家小组包括来自21个耳科学会的主席。耳科学会对SAMEO-ATO系统的批准率为95%。SAMEO-ATO方案在第31届波利策会议上进行了现场测试。未收到反对意见或严重关切。一些国际耳科医生希望纳入更多手术类别以反映手术技术的多样性，但他们也承认这会使整个系统变得繁琐。除了提供鼓室乳突手术的国际分类外，IOOG指导委员会计划引入一个通用的耳科学数据集，国际耳科学界可用于记录其手术结果。IOOG对鼓室乳突手术分类的高度国际共识支持了这一工具，使外科医生能够将他们的手术数据汇集到一个大型数据库中进行研究和比较审核。
