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Long-term quality of life in patients with vestibular schwannoma managed with microsurgery

Published online by Cambridge University Press:  31 October 2019

C Santa Maria ,
P L Santa Maria ,
V Bulsara ,
J Jayawardena ,
J D Caldow ,
L H Png  and
M D Atlas
C Santa Maria*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, Stanford University School of Medicine, USA School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
P L Santa Maria
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Stanford Hospital and Clinics, Stanford University School of Medicine, USA School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
V Bulsara
Affiliation:
School of Dentistry, The University of Western Australia, Perth, Australia
J Jayawardena
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
J D Caldow
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia
L H Png
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
M D Atlas
Affiliation:
School of Surgery, Ear Sciences Centre, Perth, Australia Ear Science Institute Australia, Perth, Australia
*
Author for correspondence: Dr Chloe Santa Maria, Stanford University School of Medicine, c/o Department of Otolaryngology, Head and Neck Surgery, 801 Welch Rd, Stanford 94305, USA E-mail: [email protected] Fax: +1 650 725 8502
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Abstract

Objective

Little is known about the long term (greater than 10 years) quality of life in patients with vestibular schwannoma. This study aimed to evaluate long-term outcomes in patients with vestibular schwannoma.

Method

A retrospective cohort study was performed across 2 academic institutions, with patients followed at least 10 years after vestibular schwannoma surgery (2000 to 2007). Telephone interviews were used to assess quality of life using the Glasgow Benefit Inventory and short form 12 item (version 2) health survey.

Results

A total of 99 out of 110 patients were included. Increasing age and symptom burden were associated with poorer quality of life (p = 0.01 and 0.02, respectively). The presence of imbalance, headache and facial nerve dysfunction were all associated with poorer quality of life scores (p = 0.01, 0.04 and 0.02, respectively).

Conclusion

Identifying and managing post-operative symptoms may improve quality of life in vestibular schwannoma patients and can guide clinical decision making.

Keywords

Neuroma, AcousticQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 953 - 959
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr C Santa Maria takes responsibility for the integrity of the content of the paper

References

1Cushing, H. Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontine Angle. Philadelphia: Saunders, 1917Google Scholar
2Gal, TJ, Shinn, J, Huang, B. Current epidemiology and management trends in acoustic neuroma. Otolaryngol Head Neck Surg 2010;142:677–81Google Scholar
3Ware, JE, ed. User's manual for the SF-12v2 Health Survey, 2nd edn. Lincoln, Rhode Island: QualityMetric Incorporated, 2007Google Scholar
4Robinson, K, Gatehouse, S, Browning, GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996;105:415–22Google Scholar
5Gauden, A, Weir, P, Hawthorne, G, Kaye, A. Systematic review of quality of life in the management of vestibular schwannoma. J Clin Neurosci 2011;18:1573–84Google Scholar
6Brooker, JE, Fletcher, JM, Dally, MJ, Briggs, RJ, Cousins, VC, Smee, RI et al. Quality of life among acoustic neuroma patients managed by microsurgery, radiation, or observation. Otol Neurotol 2010;31:977–84Google Scholar
7Betchen, SA, Walsh, J, Post, KD. Self-assessed quality of life after acoustic neuroma surgery. J Neurosurg 2003;99:818–23Google Scholar
8Leong, SC, Lesser, TH. A national survey of facial paralysis on the quality of life of patients with acoustic neuroma. Otol Neurotol 2015;36:503–9Google Scholar
9Robinett, ZN, Walz, PC, Miles-Markley, B, Moberly, AC, Welling, DB. Comparison of long-term quality-of-life outcomes in vestibular schwannoma patients. Otolaryngol Head Neck Surg 2014;150:1024–32Google Scholar
10Carlson, ML, Tveiten, OV, Driscoll, CL, Neff, BA, Shepard, NT, Eggers, SD et al. Long-term dizziness handicap in patients with vestibular schwannoma: a multicenter cross-sectional study. Otolaryngol Head Neck Surg 2014;151:1028–37Google Scholar
11Myrseth, E, Moller, P, Pedersen, PH, Vassbotn, FS, Wentzel-Larsen, T, Lund-Johansen, M. Vestibular schwannomas: clinical results and quality of life after microsurgery or gamma knife radiosurgery. Neurosurgery 2005;56:927–35Google Scholar
12Sandooram, D, Hornigold, R, Grunfeld, B, Thomas, N, Kitchen, ND, Gleeson, M. The effect of observation versus microsurgical excision on quality of life in unilateral vestibular schwannoma: a prospective study. Skull Base 2010;20:47–54Google Scholar
13Link, MJ, Lund-Johansen, M, Lohse, CM, Driscoll, CLW, Myrseth, E, Tveiten, OV et al. Quality of life in patients with vestibular schwannomas following gross total or less than gross total microsurgical resection: should we be taking the entire tumor out? Neurosurgery 2018;82:541–7Google Scholar
14Martin, HC, Sethi, J, Lang, D, Neil-Dwyer, G, Lutman, ME, Yardley, L. Patient-assessed outcomes after excision of acoustic neuroma: postoperative symptoms and quality of life. J Neurosurg 2001;94:211–16Google Scholar
15Tufarelli, D, Meli, A, Alesii, A, De Angelis, E, Badaracco, C, Falcioni, M et al. Quality of life after acoustic neuroma surgery. Otol Neurotol 2006;27:403–9Google Scholar
16Carlson, ML, Tveiten, OV, Driscoll, CL, Goplen, FK, Neff, BA, Pollock, BE et al. What drives quality of life in patients with sporadic vestibular schwannoma? Laryngoscope 2015;125:1697–702Google Scholar
17Dall, TM, Gallo, PD, Chakrabarti, R, West, T, Semilla, AP, Storm, MV. An aging population and growing disease burden will require a large and specialized health care workforce by 2025. Health Aff (Millwood) 2013;32:2013–20Google Scholar
18Weber, K, Canuto, A, Giannakopoulos, P, Mouchian, A, Meiler-Mititelu, C, Meiler, A et al. Personality, psychosocial and health-related predictors of quality of life in old age. Aging Ment Health 2015;19:151–8Google Scholar
19El-Gabalawy, R, Mackenzie, CS, Pietrzak, RH, Sareen, J. A longitudinal examination of anxiety disorders and physical health conditions in a nationally representative sample of U.S. older adults. Exp Gerontol 2014;60:46–56Google Scholar
20Fried, LP, Ferrucci, L, Darer, J, Williamson, JD, Anderson, G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 2004;59:255–63Google Scholar
21Gapstur, RL. Symptom burden: a concept analysis and implications for oncology nurses. Oncol Nurs Forum 2007;34:673–80Google Scholar
22Deberge, S, Meyer, A, Le Pabic, E, Peigne, L, Morandi, X, Godey, B. Quality of life in the management of small vestibular schwannomas: observation, radiotherapy and microsurgery. Clin Otolaryngol 2018;43:1478–86Google Scholar
23Tinetti, ME, Williams, CS, Gill, TM. Health, functional, and psychological outcomes among older persons with chronic dizziness. J Am Geriatr Soc 2000;48:417–21Google Scholar
24Aggarwal, NT, Bennett, DA, Bienias, JL, Mendes de Leon, CF, Morris, MC, Evans, DA. The prevalence of dizziness and its association with functional disability in a biracial community population. J Gerontol A Biol Sci Med Sci 2000;55:288–92Google Scholar
25Mueller, M, Strobl, R, Jahn, K, Linkohr, B, Peters, A, Grill, E. Burden of disability attributable to vertigo and dizziness in the aged: results from the KORA-Age study. Eur J Public Health 2014;24:802–7Google Scholar
26Stevens, KN, Lang, IA, Guralnik, JM, Melzer, D. Epidemiology of balance and dizziness in a national population: findings from the English Longitudinal Study of Ageing. Age Ageing 2008;37:300–5Google Scholar
27El-Kashlan, HK, Shepard, NT, Arts, HA, Telian, SA. Disability from vestibular symptoms after acoustic neuroma resection. Am J Otol 1998;19:104–11Google Scholar
28Wiegand, DA, Fickel, V. Acoustic neuroma - the patients’ perspective: subjective assessment of symptoms, diagnosis, therapy, and outcome in 541 patients. Laryngoscope 1989;99:179–87Google Scholar
29Driscoll, CL, Lynn, SG, Harner, SG, Beatty, CW, Atkinson, EJ. Preoperative identification of patients at risk of developing persistent dysequilibrium after acoustic neuroma removal. Am J Otol 1998;19:491–5Google Scholar
30Parietti-Winkler, C, Lion, A, Frere, J, Perrin, PP, Buerton, R, Gauchard, GC. Prediction of balance compensation after vestibular schwannoma surgery. Neurorehabil Neural Repair 2016;30:395–401Google Scholar
31McDonnell, MN, Hillier, SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2015;(1):CD005397Google Scholar
32Mruzek, M, Barin, K, Nichols, DS, Burnett, CN, Welling, DB. Effects of vestibular rehabilitation and social reinforcement on recovery following ablative vestibular surgery. Laryngoscope 1995;105:686–92Google Scholar
33Cohen, H. Vestibular rehabilitation reduces functional disability. Otolaryngol Head Neck Surg 1992;107:638–43Google Scholar
34Tjernstrom, F, Fransson, PA, Kahlon, B, Karlberg, M, Lindberg, S, Siesjo, P et al. PREHAB vs. REHAB - presurgical treatment in vestibular schwannoma surgery enhances recovery of postural control better than postoperative rehabilitation: retrospective case series. J Vestib Res 2018;27:313–25Google Scholar
35Cavallini, A, Micieli, G, Bussone, G, Rossi, F, Nappi, G. Headache and quality of life. Headache 1995;35:29–35Google Scholar
36Kim, SY, Park, SP. The role of headache chronicity among predictors contributing to quality of life in patients with migraine: a hospital-based study. J Headache Pain 2014;15:68Google Scholar
37Schaller, B, Baumann, A. Headache after removal of vestibular schwannoma via the retrosigmoid approach: a long-term follow-up-study. Otolaryngol Head Neck Surg 2003;128:387–95Google Scholar
38Jackson, CG, McGrew, BM, Forest, JA, Hampf, CR, Glasscock, ME 3rd, Brandes, JL et al. Comparison of postoperative headache after retrosigmoid approach: vestibular nerve section versus vestibular schwannoma resection. Am J Otol 2000;21:412–16Google Scholar
39Schessel, DA, Rowed, DW, Nedzelski, JM, Feghali, JG. Postoperative pain following excision of acoustic neuroma by the suboccipital approach: observations on possible cause and potential amelioration. Am J Otol 1993;14:491–4Google Scholar
40Sabab, A, Sandhu, J, Bacchi, S, Jukes, A, Zacest, A. Postoperative headache following treatment of vestibular schwannoma: a literature review. J Clin Neurosci 2018;52:26–31Google Scholar
41Rigby, PL, Shah, SB, Jackler, RK, Chung, JH, Cooke, DD. Acoustic neuroma surgery: outcome of patient-perceived disability. Am J Otol 1997;18:427–35Google Scholar
42Ryzenman, JM, Pensak, ML, Tew, JM Jr. Headache: a quality of life analysis in a cohort of 1657 patients undergoing acoustic neuroma surgery, results from the acoustic neuroma association. Laryngoscope 2005;115:703–11Google Scholar
43Rimaaja, T, Haanpaa, M, Blomstedt, G, Farkkila, M. Headaches after acoustic neuroma surgery. Cephalalgia 2007;27:1128–35Google Scholar
44Carlson, ML, Tveiten, OV, Driscoll, CL, Boes, CJ, Sullan, MJ, Goplen, FK et al. Risk factors and analysis of long-term headache in sporadic vestibular schwannoma: a multicenter cross-sectional study. J Neurosurg 2015;123:1276–86Google Scholar
45Juang, KD, Wang, SJ, Fuh, JL, Lu, SR, Su, TP. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache 2000;40:818–23Google Scholar
46Levo, H, Pyykko, I, Blomstedt, G. Postoperative headache after surgery for vestibular schwannoma. Ann Otol Rhinol Laryngol 2000;109:853–8Google Scholar
47Levo, H, Blomstedt, G, Hirvonen, T, Pyykko, I. Causes of persistent postoperative headache after surgery for vestibular schwannoma. Clin Otolaryngol Allied Sci 2001;26:401–6Google Scholar
48Schessel, DA, Nedzelski, J, Rowed, D, Feghali, JG. Pain after surgery for acoustic neuroma. Otolaryngol Head Neck Surg 1992;107:424–9Google Scholar
49Ducic, I, Felder, JM 3rd, Endara, M. Postoperative headache following acoustic neuroma resection: occipital nerve injuries are associated with a treatable occipital neuralgia. Headache 2012;52:1136–45Google Scholar
50Cross, T, Sheard, CE, Garrud, P, Nikolopoulos, TP, Donoghue, GM. Impact of facial paralysis on patients with acoustic neuroma. Laryngoscope 2000;110:1539–42Google Scholar
51Kelleher, MO, Fernandes, MF, Sim, DW, O'Sullivan, MG. Health-related quality of life in patients with skull base tumours. Br J Neurosurg 2002;16:16–20Google Scholar
52Golan, M, Hagay, N, Tamir, S. Gender related differences in response to “in favor of myself” wellness program to enhance positive self & body image among adolescents. PLoS One 2014;9:e91778Google Scholar
53Hohman, MH, Hadlock, TA. Etiology, diagnosis, and management of facial palsy: 2000 patients at a facial nerve center. Laryngoscope 2014;124:E283–93Google Scholar
54Gordin, E, Lee, TS, Ducic, Y, Arnaoutakis, D. Facial nerve trauma: evaluation and considerations in management. Craniomaxillofac Trauma Reconstr 2015;8:1–13Google Scholar
55Cheng, S, Naidoo, Y, da Cruz, M, Dexter, M. Quality of life in postoperative vestibular schwannoma patients. Laryngoscope 2009;119:2252–7Google Scholar
56Di Maio, S, Akagami, R. Prospective comparison of quality of life before and after observation, radiation, or surgery for vestibular schwannomas. J Neurosurg 2009;111:855–62Google Scholar
57Godefroy, WP, Kaptein, AA, Vogel, JJ, van der Mey, AG. Conservative treatment of vestibular schwannoma: a follow-up study on clinical and quality-of-life outcome. Otol Neurotol 2009;30:968–74Google Scholar
58Pollock, BE, Driscoll, CL, Foote, RL, Link, MJ, Gorman, DA, Bauch, CD et al. Patient outcomes after vestibular schwannoma management: a prospective comparison of microsurgical resection and stereotactic radiosurgery. Neurosurgery 2006;59:77–85Google Scholar
59Milton, CL. The ethics of defining quality of life. Nurs Sci Q 2013;26:121–3Google Scholar
60Parse, RR. Human dignity: a humanbecoming ethical phenomenon. Nurs Sci Q 2010;23:257–62Google Scholar
61Carr, AJ, Gibson, B, Robinson, PG. Is quality of life determined by expectations or experience? BMJ 2001;322:1240–3Google Scholar