Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T07:52:04.775Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of quality of life outcomes following different mastoid surgery techniques

Published online by Cambridge University Press:  28 August 2015

J Joseph ,
A Miles ,
S Ifeacho ,
N Patel ,
A Shaida ,
D Gatland ,
G Watters  and
E Kiverniti
J Joseph*
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
A Miles
Affiliation:
Department of Psychological Sciences, Birkbeck, University of London, UK
S Ifeacho
Affiliation:
Department of ENT, Charing Cross Hospital, Imperial College Healthcare NHS Trust, London, UK
N Patel
Affiliation:
Department of ENT, Whipps Cross Hospital, Barts Health NHS Trust, London, UK
A Shaida
Affiliation:
Department of ENT, Royal National Throat, Nose and Ear Hospital, London, UK
D Gatland
Affiliation:
Department of ENT, Southend Hospital NHS Trust, Westcliff-on-Sea, UK
G Watters
Affiliation:
Department of ENT, Southend Hospital NHS Trust, Westcliff-on-Sea, UK
E Kiverniti
Affiliation:
Department of ENT, Princess Alexandra Hospital NHS Trust, Harlow, UK
*
Address for correspondence: Mr Jonathan Joseph, 84 Ossulton Way, Hampstead Garden Suburb, London N2 0LB, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background:

Mastoid surgery carried out to treat chronic otitis media can lead to improvement in objective and subjective measures post-operatively. This study investigated the subjective change in quality of life using the Glasgow Benefit Inventory relative to the type of mastoid surgery undertaken.

Method:

A retrospective multicentre postal survey of 157 patients who underwent mastoid surgery from 2008 to 2012 was conducted.

Results:

Eighty-three questionnaire responses were received from patients who underwent surgery at one of three different hospitals (a response rate of 53 per cent). Fifty-seven per cent of patients had a Glasgow Benefit Inventory score of 0, indicating no change in quality of life post-operatively. Thirty-five per cent scored over 50, indicating significant improvement. The only significant difference found was that women fared worse after surgery than men.

Conclusion:

The choice of mastoid surgery technique should be determined by clinical need and surgeon preference. There is no improvement in quality of life for most patients following mastoid surgery.

Keywords

MastoidSurgeryQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 9 , September 2015 , pp. 835 - 839
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Dornhoffer, JL, Smith, J, Richter, G, Boeckmann, J. Impact on quality of life after mastoid obliteration. Laryngoscope 2008;118:1427–32CrossRefGoogle ScholarPubMed
2Merchant, SN, Wang, PC, Jang, CH, Glynn, RJ, Rauch, SD, McKenna, MJ et al. Efficacy of tympanomastoid surgery for control of infection in active chronic otitis media. Laryngoscope 1997;107:872–7CrossRefGoogle ScholarPubMed
3Wang, PC, Jang, CH, Shu, YH, Tai, CJ, Chu, KT. Cost-utility analysis of tympanomastoidectomy for adults with chronic suppurative otitis media. Otolaryngol Head Neck Surg 2005;133:352–6CrossRefGoogle ScholarPubMed
4Robinson, K, Gatehouse, S, Browning, GG. Measuring patient benefit from otorhinolaryngological surgery and therapy. Ann Otol Rhinol Laryngol 1996;105:415–22CrossRefGoogle ScholarPubMed
5Japan Otological Society. Cholesteatoma staging system. Otol Jpn 2008;18:611–15Google Scholar
6G*Power: Statistical Power Analyses for Windows and Mac. In: http://www.gpower.hhu.de/en.html [17 June 2015]Google Scholar
7Kim, MB, Choi, J, Lee, JK, Park, JY, Chu, H, Cho, YS et al. Hearing outcomes according to the types of mastoidectomy: a comparison between canal wall up and canal wall down mastoidectomy. Clin Exp Otorhinolaryngol 2010;3:203–6CrossRefGoogle Scholar
8Khan, SU, Tewary, RK, O'Sullivan, TJ. Modified radical mastoidectomy and its complications–12 years' experience. Ear Nose Throat J 2014;93:E30–6Google ScholarPubMed
9Carlson, ML, Latuska, RF, Pelosi, S, Wanna, GB, Bennett, ML, Rivas, A et al. Evolving considerations in the surgical management of cholesteatoma in the only hearing ear. Otol Neurotol 2014;35:84–90CrossRefGoogle ScholarPubMed
10Swan, IR, Guy, FH, Akeroyd, MA. Health-related quality of life before and after management in adults referred to otolaryngology: a prospective national study. Clin Otolaryngol 2012;37:35–43CrossRefGoogle ScholarPubMed
11Choi, SY, Cho, YS, Lee, NJ, Lee, J, Chung, WH, Hong, SH. Factors associated with quality of life after ear surgery in patients with chronic otitis media. Arch Otolaryngol Head Neck Surg 2012;138:840–5CrossRefGoogle ScholarPubMed