Long-term Quality of Life Following Vestibular Schwannoma Excision Via the Translabyrinthine Approach
| Autor: | Osama Mahmoud, Richard T. Ramsden, Andrew T. King, Scott A. Rutherford, Stephen J. Broomfield, Jack S. Nicholson, Ashish K. Mandavia |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Quality of life medicine.medical_specialty Neurofibromatosis 2 Time Factors Cross-sectional study Population Audiology Schwannoma Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Acoustic neuroma (vestibular schwannoma) Neurofibromatosis type 2 030223 otorhinolaryngology education Social Behavior Aged Retrospective Studies education.field_of_study Translabyrinthine approach business.industry Incidence (epidemiology) Retrospective cohort study Acoustics Neuroma Acoustic Middle Aged medicine.disease humanities Sensory Systems Cross-Sectional Studies Mental Health Treatment Outcome Otorhinolaryngology Physical therapy Quality of Life Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery Neurilemmoma |
| Zdroj: | Broomfield, S J, Mandavia, A K, Nicholson, J S, Mahmoud, O, King, A T, Rutherford, S A & Ramsden, R T 2017, ' Long-term Quality of Life Following Vestibular Schwannoma Excision Via the Translabyrinthine Approach ', Otology and Neurotology, vol. 38, no. 8, pp. 1165-1173 . https://doi.org/10.1097/MAO.0000000000001507 |
| DOI: | 10.1097/MAO.0000000000001507 |
| Popis: | Objective: To assess post-operative quality of life (QOL) and other patient-reported outcomes following surgery for vestibular schwannoma.Study Design: Cross-sectional retrospective case review using postal questionnaires.Setting: Tertiary referral centre.Patients: Five hundred consecutive patients undergoing surgery for vestibularschwannoma.Intervention(s): Patients undergoing surgery via the translabyrinthine approach(excluding neurofibromatosis type 2) under the senior author, with a minimum of five years follow-up, were included.Main Outcome Measure(s): QOL was assessed using the Short Form 36 (SF-36)questionnaire and a disease-specific survey to assess patients' subjective outcomes.Results: The SF-36 scores in this group were significantly lower than the general UK population, though 24% of respondents reported a subjective improvement in overall QOL. Tumours larger than 4cm were related to a reduced SF-36 total mental component score (P = 0.037). Increased age at time of surgery correlated with a reduced physical component of QOL (correlation coefficient = -0.26) and an improved mental component (correlation coefficient = 0.26). Subjective reports of post-operative symptoms and return to work, driving and social activities were similar to other published studies. 35% of patients reported vivid dreams or nightmares following surgery; the first reported incidence of this phenomenon in a large group of vestibular schwannoma patients.Conclusions: Generic measures of QOL in patients following translabyrinthine surgery for vestibular schwannoma do not always match subjective reports, reflecting the complexity of QOL assessment and the range of outcomes in this group. Increased time since surgery appears to be associated with an improvement in mental health. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|