SPITE = surgery, prosthetic, infection, tissue, Eustachian
Parameters:
(1) surgical: complex, scutum repair plus myringoplasty required
(2) prosthetic (and state of the ossicles): absence of malleus, absence of stapes, air-bone gap at presentation >= 50 dB at 500 and 100 cps (possible stapes fixation)
(3) infection: unremitting otorrhea, chronic myringitis
(4) tissue: suspect general condition, meatoplasty involving the drum, damaged/diseased mucosa
(5) eustachian: effusion present, severe pars tensa collapse
Complex surgery: mastoidectomy reconstruction, congenital reconstructions, ears badly damaged by cholesteatoma, difficult canal wall procedures
Suspect general condition: age < 5 years or > 70 years; severe general debility, severe illness
|
Parameter
|
Finding
|
Points
|
|
complex surgery
|
no
|
0
|
|
|
yes
|
1
|
|
scutum repair plus myringoplasty required
|
no
|
0
|
|
|
yes
|
1
|
|
absence of malleus
|
no
|
0
|
|
|
yes
|
1
|
|
absence of stapes
|
no
|
0
|
|
|
yes
|
1
|
|
air-bone gap
|
< 50 dB
|
0
|
|
|
>= 50 dB
|
1
|
|
unremitting otorrhea
|
no
|
0
|
|
|
yes
|
1
|
|
chronic myringitis
|
no
|
0
|
|
|
yes
|
1
|
|
poor general condition or extreme of age
|
no
|
0
|
|
|
yes
|
1
|
|
meatoplasty involving the drum
|
no
|
0
|
|
|
yes
|
1
|
|
damaged or diseased mucosa
|
no
|
0
|
|
|
yes
|
1
|
|
effusion present (immediately preoperatively)
|
no
|
0
|
|
|
yes
|
1
|
|
severe pars tensa collapse
|
no
|
0
|
|
|
yes
|
1
|
number of risk factors =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 12
• The greater the number of risk factors the greater the risk of problems.
