Changes in audiovestibular handicap following treatment of vestibular schwannomas.

Autor:	Campbell T; Brighton and Sussex Medical School, Brighton, UK., Goh SJ; MOH Holdings, Singapore., Wadeson AM; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK., Freeman SR; Department of Otolaryngology, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK., Rutherford SA; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK., King AT; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK.; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Manchester, UK.; Division of Cardiovascular Sciences, School of Medical Sciences, Faculty of Brain and Mental Health, University of Manchester, Manchester, UK.; Division of Neuroscience and Experimental Psychology, School of Biological Sciences, Faculty of Brain and Mental Health, University of Manchester, Manchester, UK., Hammerbeck-Ward CL; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK., Pathmanaban O; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK.; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Manchester, UK., Entwistle H; Department of Neurosurgery, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK., Bird J; Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK., Axon PR; Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK., Moffat DA; Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK., Lloyd SK; Department of Otolaryngology, Manchester Academic Health Science Centre, Salford Royal NHS Foundation Trust, Manchester, UK.; Division of Cancer Sciences, School of Medical Sciences, University of Manchester, Manchester, UK.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2024 Jun; Vol. 138 (6), pp. 608-614. Date of Electronic Publication: 2023 Nov 29.
DOI:	10.1017/S002221512300213X
Abstrakt:	Objective: This study aimed to assess degree of audiovestibular handicap in patients with vestibular schwannoma. Methods: Audiovestibular handicap was assessed using the Hearing Handicap Inventory, Tinnitus Handicap Inventory and Dizziness Handicap Inventory. Patients completed questionnaires at presentation and at least one year following treatment with microsurgery, stereotactic radiosurgery or observation. Changes in audiovestibular handicap and factors affecting audiovestibular handicap were assessed. Results: All handicap scores increased at follow up, but not significantly. The Tinnitus Handicap Inventory and Dizziness Handicap Inventory scores predicted tinnitus and dizziness respectively. The Hearing Handicap Inventory was not predictive of hearing loss. Age predicted Tinnitus Handicap Inventory score and microsurgery was associated with a deterioration in Dizziness Handicap Inventory score. Conclusion: Audiovestibular handicap is common in patients with vestibular schwannoma, with 75 per cent having some degree of handicap in at least one inventory. The overall burden of handicap was, however, low. The increased audiovestibular handicap over time was not statistically significant, irrespective of treatment modality.
Databáze:	MEDLINE
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