Meyerhoff W L, Truelson J
Laryngoscope. 1986 Sep;96(9 Pt 1):935-9.
Manuscripts reporting results of surgery for chronic otitis media would be more meaningful if standardized nomenclature were used in describing the type of surgery performed and if standardized classifications were used for the disease process. Standardized nomenclature for surgery type and classifications for chronic otitis media exists. A Classification for cholesteatoma, based on pathophysiology, location, eustachian tube function, ossicular defects, and presence or absence of complications is proposed. Congenital cholesteatoma is that which has its nidus of trapped squamous epithelium present at birth. Primary acquired cholesteatoma is associated with a defect in the pars flaccida, while secondary acquired cholesteatoma is associated with a defect in the pars tensa. Tertiary acquired cholesteatoma is defined as that which occurs behind a normal appearing tympanic membrane as the result of implantation or an antecedent middle ear inflammation.
如果在描述所施行的手术类型时使用标准化术语，并且在描述疾病过程时使用标准化分类，那么报道慢性中耳炎手术结果的手稿将会更有意义。手术类型的标准化术语以及慢性中耳炎的分类是存在的。基于病理生理学、位置、咽鼓管功能、听骨链缺损以及有无并发症，提出了一种胆脂瘤分类法。先天性胆脂瘤是指出生时就存在鳞状上皮陷入的病灶。原发性后天性胆脂瘤与松弛部的缺损有关，而继发性后天性胆脂瘤与紧张部的缺损有关。三期后天性胆脂瘤被定义为由于植入或先前的中耳炎症而发生在外观正常的鼓膜后方的胆脂瘤。
