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

Gaetano Paludetti, Bruno Sergi, Eugenio De Corso

Risultato della ricerca: Contributo in rivistaArticolo in rivista

8 Citazioni (Scopus)

Abstract

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.
Lingua originaleEnglish
pagine (da-a)53-60
Numero di pagine8
RivistaActa Otorhinolaryngologica Italica
Volume39
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • Adolescent
  • Adult
  • Aged
  • Audiometry, Pure-Tone
  • Canal wall down
  • Canal wall up
  • Cholesteatoma
  • Chronic Disease
  • Chronic otitis media
  • Ear Canal
  • Ear surgery
  • Ear, Middle
  • Female
  • Hearing Loss
  • Humans
  • Italy
  • Male
  • Mastoidectomy
  • Middle Aged
  • Middle ear
  • Otitis Media
  • Otoscopy
  • Postoperative Period
  • Quality of Life
  • Quality of life
  • Reconstructive Surgical Procedures
  • Reoperation
  • Surveys and Questionnaires
  • Temporal Bone
  • Treatment Outcome
  • Tympanoplasty
  • Young Adult

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