Department of Otolaryngology-Head and Neck Surgery, Luzerner Kantonsspital (LUKS), Luzern, Switzerland.
Department of Otorhinolarygology and Head Neck Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Otol Neurotol. 2019 Jan;40(1):63-72. doi: 10.1097/MAO.0000000000002039.
: Many previous attempts have been made to classify or categorize cholesteatomas. Recently, the European Academy of Otology and Neurotology and the Japanese Otological Society proposed a classification system based primarily on extension and complications. The European Academy of Otology and Neurotology/Japanese Otological Society consensus statement makes an effort to standardize reporting of surgical techniques. Internet-based multicenter studies are facilitated by increasing connectivity, but a mutually-agreed framework for reporting is necessary for results to be comparable across sites. New technologies compete with established standardized surgical approaches and need to be validated. It is definitively the right time to find a consensus on how to record and report surgical findings in cholesteatoma surgery. To stimulate this interesting discussion, we propose a ChOLE-classification system, which is based on the differentiation into extension (Ch), status of the ossicular chain at the end of surgery (O), complications (L), and degree of pneumatization and ventilation (E). A numeric rule is used to stage these cholesteatomas from I-III.
: 许多先前的尝试都试图对胆脂瘤进行分类或归类。最近，欧洲耳科学和神经耳科学学会以及日本耳科学会提出了一个主要基于扩展和并发症的分类系统。欧洲耳科学和神经耳科学学会/日本耳科学会共识声明努力规范手术技术的报告。基于互联网的多中心研究由于连接性的增加而变得更加便利，但需要达成一致的报告框架，以便在各个站点之间进行可比的结果。新技术与既定的标准化手术方法竞争，需要进行验证。现在正是就如何记录和报告胆脂瘤手术中的手术结果达成共识的最佳时机。为了激发这种有趣的讨论，我们提出了一个 ChOLE 分类系统，该系统基于以下方面的区分：扩展（Ch）、手术结束时听小骨链的状态（O）、并发症（L）以及气腔和通气程度（E）。使用数字规则对这些胆脂瘤进行 I-III 期分期。
