Quality of Life After Cholesteatoma Surgery

Quaranta, Nicola; Iannuzzi, Lucia; Petrone, Paolo; D’Elia, Alessandra; Quaranta, A

doi:10.1177/0003489414523562

Cited by 35 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, we demonstrated the absence of a significant difference, in terms of self-perceived quality of life, in patients undergoing CWU compared to CWD. Our results are consistent with those reported by other authors 91216 . The study conducted by Lailach et al 16 which compared QoL outcomes among CWD, CWU and exclusively transcanalar technique (ETC) demonstrated that CWD showed similar results in QoL compared to CWU, whereas the ETC group reported significantly higher performances.…”

Section: Discussionsupporting

confidence: 94%

See 1 more Smart Citation

Quality of life and functional results in canal wall down vs canal wall up mastoidectomy

Lucidi

Corso

Paludetti

et al. 2019

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

SUMMARY Social functioning and personal satisfaction about quality of life are issues in the spotlight in most fields of otolaryngology. However, in ear surgery, few studies performed standardised measurements through interviews and validated questionnaires. We enrolled 81 patients undergoing tympanomastoidectomy from January 2011 to December 2014, at the “A. Gemelli” Hospital of the Catholic University, Rome. 50 patients (61.7%) underwent non-obliterative Canal Wall Down (CWD) mastoidectomy, whereas 31 patients (38.3%) underwent Canal Wall Up (CWU) mastoidectomy. We administered the Chronic Ear Survey (CES) 3 and 12-months post-operatively and the Chronic Otitis Media Outcome Test-15 (COMOT-15) 12 months post-operatively. Results were compared to hearing threshold, sex and age. In the CWD Group, significant improvements were observed in all CES subscale scores and total scores over time (p < 0.001) whereas in the CWU Group we found a partial improvement. Inter-group comparison showed no significant differences in administration of CES in CWD vs CWU (p > 0.05 for all subsections and overall scores). A significant difference was found only in the COMOT-15 “Hearing Function” subsection, in favour of CWU over CWD (61 vs 39 respectively; p < 0.05). A significant association was found between PTA and COMOT-15 “Hearing Function” subsection scores. According to our results, a significant difference in the post-operative QoL between CWD and CWU should not be taken for granted.

show abstract

Section: Discussionsupporting

confidence: 94%

“…All previous scientific comparisons, however, were conducted on CWD with mastoid obliteration versus CWU. Accordingly, it is suggested that the overlapping results are due to a decreased incidence of neo-mastoid cavity disadvantages in the CWD group 891617 .…”

Section: Discussionmentioning

confidence: 99%

Quality of life and functional results in canal wall down vs canal wall up mastoidectomy

Lucidi

Corso

Paludetti

et al. 2019

Acta Otorhinolaryngol Ital

View full text Add to dashboard Cite

show abstract

“…However, the use of a questionnaire or the systematic questioning of patients regarding their symptoms does not yet appear to be general practice. The national cholesteatoma study and the literature ( 16 , 17 ) show that hearing loss with or without otorrhea is the most important health concern. In addition, to improve hearing, the cessation of otorrhea is a determining factor for the success of surgery according to patients.…”

Section: Discussionmentioning

confidence: 99%

Uniform Registration Agreements on Cholesteatoma Care: A Nationwide Consensus Procedure

Tije¹,

Pauw

Braspenning

et al. 2020

Otology &Amp; Neurotology

View full text Add to dashboard Cite

Background: To coordinate and align the content for registration of cholesteatoma care. Methods: Systematic Delphi consensus procedure, consisting three rounds: two written sessions followed by a face-to-face meeting. Before this procedure, input on important patient outcomes was obtained. Consensus was defined as at least 80% agreement by participants. Hundred-thirty-six adult patients who had undergone cholesteatoma surgery and all ENT surgeons of the Dutch ENT Society were invited. The consensus rounds were attended by ENT surgeons with cholesteatoma surgery experience. Feasibility and acceptability of outcome measures and reporting agreements were assessed in round 1 by 150 ENT surgeons. In round 2 definitions were narrowed and context information to interpret outcome measure were questioned. In round 3, the results, amendments, and the open-ended points were discussed to reach agreement. Results: Most important outcome measures are: 1) the presence or absence of a cholesteatoma in the first 5 years after surgical removal of cholesteatoma, 2) hearing level after surgical removal of cholesteatoma, and 3) the documented assessment of patient's complaints with a validated patient reported outcome measures questionnaire (PROM). Furthermore, consensus was reached on the registration of cholesteatoma type (residual/recurrent), localization of cholesteatoma, and reporting of the presence of cholesteatoma in the follow-up. Conclusion: Consensus was reached on the content and method of registration of cholesteatoma care based on patient's and ENT surgeons input. Three outcome measures were defined. National agreements on the method and content of registration will facilitate monitoring and feedback to the ENT surgeon about the cholesteatoma care.

show abstract

“…Hitherto studies have either applied general health questionnaires to COM patients or compared mucosal and squamosal COM with disease-specific questionnaires. Quaranta et al reported comparable scores on QOL scores following CWU and CWD with mastoid obliteration [19].…”

Section: Quality Of Life In Chronic Otitis Mediamentioning

confidence: 96%

A Comparative Study of Outcomes and Quality of Life in Canal Wall up Mastoidectomies and Canal Wall down Mastoidectomies

Abraham

Philip

Lepcha

et al. 2021

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Chronic Otitis Media (COM) of the squamosal type was primarily managed by performing a canal wall down mastoidectomy; however, the latter era otolaryngologist envisioned benefits in preserving the posterior canal wall. Our primary objective was to assess the disease specific quality of life following canal wall up (CWU) mastoidectomy and canal wall down (CWD) mastoidectomy surgery after a 6 month post-operative period. A prospective observational study was done from September 2017 to August 2018 where the charts of 380 patients from Christian Medical College, Vellore were reviewed. Details of patients above 18 years who had undergone the above surgeries for COM active squamosal disease from the period of January 2014 to December 2016; and had their post-operative follow up (average of 16 months) during the period of study were looked at. The CWU group had a significantly better disease-specific quality of life in the symptoms subscale than the CWD group (p value \ 0.01). The CWU group showed a significant air-bone gap closure to 23.3 dB as compared to 27.7 dB in CWD (p value = 0.005). The recurrence rates were 4.5% (9 cases) in the CWU group and 3.9% (7 cases) in the CWD group, which was not statistically significant. Both CWU and CWD methods of mastoidectomy for COM squamosal type give comparable outcomes in terms of recurrence with the CWU group having a better disease-specific quality of life after surgery. Level of Evidence 2a.

show abstract

Quality of Life After Cholesteatoma Surgery

Abstract: The results of this study demonstrate that CWDT with mastoid obliteration resulted in a quality of life comparable with that after ICWT. Postoperative hearing loss is the most frequently reported problem for both techniques.

Cited by 35 publications

References 14 publications

Quality of life and functional results in canal wall down vs canal wall up mastoidectomy

Quality of life and functional results in canal wall down vs canal wall up mastoidectomy

Uniform Registration Agreements on Cholesteatoma Care: A Nationwide Consensus Procedure

A Comparative Study of Outcomes and Quality of Life in Canal Wall up Mastoidectomies and Canal Wall down Mastoidectomies

Contact Info

Product

Resources

About