Prognostic Scoring Systems in Ossiculoplasty:A Comprehensive Review and Introduction of a Novel Predictive Index
Goran Latif Omer1
Giuseppe De Donato2
Aland Salih Abdullah3
Sahand Soran Ali4
Rekawt Hama Rashid Kareem5
Andrea Gravina2
Saeed Sherko F.Zmnako3
Stefano Di Girolamo2
1.Department of Clinical Sciences,College of Medicine,University of Sulaimani,Sulaymaniyah 46001,KRI,Iraq;Department of Otorhinolaryngology and Head and Neck Surgery,Tor Vergata University of Rome,Rome 00133,Italy2.Department of Otorhinolaryngology and Head and Neck Surgery,Tor Vergata University of Rome,Rome 00133,Italy3.Department of Clinical Sciences,College of Medicine,University of Sulaimani,Sulaymaniyah 46001,KRI,Iraq4.College of Pharmacy,American University of Iraq-Sulaimani,Sulaymaniyah 46001,KRI,Iraq5.Department of Otorhinolaryngology and Head and Neck Surgery,Faruk Medical City,Sulaymaniyah 46001,KRI,Iraq
摘要：Ossiculoplasty remains a challenging surgical procedure,with outcomes heavily influenced by diverse anatomical and pathological factors.Over the decades,numerous scoring systems have been developed to predict the prognosis of ossiculoplasty,each emphasizing different variables such as ossicular status,middle ear environment,and surgical history.This paper provides a comprehensive review of the evolution of prognostic scoring systems,including Austin's original ossicular classification,Bellucci's otorrhea staging,the Middle Ear Risk Index(MERI),the Ossiculoplasty Outcome Parameter Staging(OOPS),and the recently introduced Ear Environment Risk(EER)scale.While these systems have significantly contributed to preoperative assessment,each presents notable limitations in encompassing all variables affecting surgical success.Therefore,the aim of this paper is to provide a review of the ossiculoplasty prognostic scores and show the benefits,innovations and gaps associated with each.To address these gaps,a novel,modified scoring system is proposed,incorporating previously overlooked but clinically significant factors such as tympanic membrane status,type of tympanoplasty,ossicular replacement material,CT scan findings,and the presence of complicated ear conditions.By synthesizing elements from historical scores with updated clinical insights,the proposed system aims to provide a more holistic and predictive framework for preoperative evaluation.Future multicenter studies are encouraged to validate the efficacy and prognostic power of this new scoring system,with the goal of improving surgical planning and patient counseling in ossiculoplasty.
机标关键词：systemsreviewindexnovelcomprehensiveintroductionossiculoplastypredictive
论文发表日期：2026-01-30
在线出版日期：2026-03-16（本平台首次上网日期，不代表文献的发表时间）
页数：8( 57-64 )
英文信息